Recent changes to the New York State Medicaid Program affect vaccine administration for pharmacies, claiming process for nurse practitioners, documentation requirements for transportation providers, and prior authorization for physical and occupational therapists. We summarize these changes.
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The New York State Medicaid Program recognizes that certain Medicaid enrollees are not able to use mass transit or other forms of transportation to get to and from a doctor’s appointment and “[i]f the enrollee cannot get to medical services, then the Program fails from the start.” To that end, Medicaid covers the least costly, The New York State Medicaid transportation program has undergone some changes recently. In January, the New York State Department of Health announced that a contract was awarded to LogistiCare Solutions to manage the transportation needs of Medicaid enrollees. Each New York City borough will be brought under the management of the contractor in phases. The New York Medicaid Program pays costs of all emergency ambulance and medically necessary non-emergency transportation, as well as the necessary transportation expenses for Medicaid enrollees who must travel an extraordinary distance to receive medical care. The New York Medicaid Program will only reimburse transportation providers if specific records verifying an occurrence of a trip are maintained for each leg of the trip. |
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