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Welcome Behavioral Health Providers 

21st Century Cures ACT

  • The 21st Century Cures Act (Cures Act) 114 P.L. 255 requires all States to screen and enroll all Medicaid providers, both those in Medicaid fee-for-service (FFS) and managed care organizations (MCOs). Medicaid managed care network providers, regardless of specialty, are required to be screened by and enrolled with the State Medicaid Agency. Federal laws enforced by CMS, including the Affordable Care Act and the 21st Century Cures Act, require states to screen and enroll all providers. Providers who do not comply with this requirement risk being removed from the New York Medicaid managed care network.
  • Beginning September 1,2022 providers who are not enrolled in NY Medicaid will no longer be eligible for payment of claims. The Medicaid provider enrollment process is to ensure appropriate and consistent screening of providers and improve program integrity. In order to enroll, you will need to go to Provider Index and navigate to your provider type to print and review the instructions and enrollment form. Here, you will also find a Provider Enrollment Guide and How Do I Do It? resource guide.  FAQ Guide eMedNY.org

COVID-1- Guidance Udpates

Provider Notification

Optum Network Manual

Clinical Criteria

Best Practice Guidelines

Coordination of Care (COC)

Provider Contract Provisions and Compliance Requirements

  • Coming soon

Mandates

New York Provider Quarterly Newsletter

New York Medicaid Provider Resources - Adults

General Information
Provider Notifications
Provider Training Materials
Quality Improvement

NY Medicaid Audit Tools

Clinical Information

Prior Authorization and Notification (PAAN)

New York Child Health Plus

General Information

Coming soon

Provider Notifications
Provider Training Materials

New York Medicaid Advantage Plus (MAP) Dual Complete One

General Information
Provider Notifications

Coming soon

Provider Training Materials

New York Medicaid Provider Resources - Children Under 21

General Information
Quality Improvement
Provider Notifications
Provider Training
 

 

UHC ON Air Provider Training & Information

Clinical Information
29i Health Care Facilities/VFCA Resources

 

Quick Reference Guide

 

Transmittal Form

 

Provider Training

 

Provider Notifications

 

Claims Testing Resources

 

Evidence Based Practice Guidelines

Behavioral Health Essential Providers Resources – Foster Care

Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.