Posted in Training, Updates

NY Medicaid Reimbursement for COVID-19 testing and Specimen Collection (for Pharmacies)

Coding Guidance for Pharmacies

New York Medicaid plans will reimburse Providers for COVID-19 specimen collection or CLIA waived COVID-19 testing for Medicaid Members, when such collection or testing is in compliance with the Governor’s Executive Order #202.24. 

* For Pharmacies- do not bill for Specimen Collection. Reimbursement includes the COVID-19 testing and specimen collection. Furthermore, if the Pharmacy is receiving payment from another insurance for COVID-19 testing or lab specimen collection, the Pharmacy SHOULD NOT bill NY MEDICAID.

To see the full announcement please click here.

Posted in Insurance, Training, Updates

MVP (NY)-Smoking Cessation Counseling Benefit,11/1/2020

According to MVP provider updates- MVP has lifted the restriction of max 8 visits per calendar year.

As of 11/1/2020- there will be no maximum number of SCC or smoking cessation counseling. Instead, MVP will cover as many sessions as needed, based on medical necessity.

Reminder that SCC services include: screening, behavioral interventions, medication for adults, and behavioral interventions for school-aged children and adolescents, as appropriate.

This benefits is available to members no matter which type of products they use. These products include: smokeless tobacco (dip, chew, snuff, etc), cigarettes, e-cigarettes, and vaping of nicotine products.