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NYS Medicaid Pharmacy Programs

Notifications

Notifications

Provider Notifications
Date Title
Date Title
06/10/21 Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of June 2021
05/26/21 Medicaid Pharmacy Prior Authorization Program Updates – Effective June 24, 2021
04/15/21 Attention All Providers: The Pharmacy Carve-Out Has Been Delayed by Two Years, until April 1, 2023
04/01/21 Medicaid Pharmacy Prior Authorization Programs Update - Effective April 22, 2021
03/26/21 Medicaid Update Special Edition - Part Two: Medicaid Pharmacy Carve-Out The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
03/22/21 Targeted Letter to High Volume BLTG Pharmacies The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
03/16/21 Attention: COVID-19 Vaccine Administration Billing Guidance for Managed Long-Term Care Members without Medicare Coverage
03/15/21 Targeted Letter to High Volume Prescribers of Non-preferred Products The FY 2022 Enacted Budget delays the transition of the Medicaid pharmacy benefit by two years, until April 1, 2023.
02/19/21 New York State (NYS) Medicaid Fee-for-Service (FFS) Policy and Billing Guidance for COVID-19, Influenza and RSV Testing and Specimen Collection at Pharmacies as of 02/18/2021
01/07/21 Medicaid Pharmacy Prior Authorization Programs Update - Effective February 4, 2021
11/25/20 Attention: Pharmacies and DME, Prosthetics, Orthotics and Supply Providers, and Prescribers Not Enrolled in Medicaid Fee-for-Service (FFS)
11/09/20 UPDATE: Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists
11/02/20 NYS Medicaid Fee-for-Service (FFS) Program Pharmacists as Immunizers Fact Sheet (Update November 2020)
10/22/20 Drug Coverage for New York State Medicaid Dual Eligible Members (Effective October 22, 2020)
10/09/20 Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists Effective December 1, 2020
09/25/20 Provider Notification – Coordination of Benefits Update Effective September 24, 2020
09/23/20 New York State (NYS) Medicaid Fee-for Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 09/18/2020
09/10/20 Medicaid Pharmacy Prior Authorization Program Update Effective 10/08/2020
09/03/20 NYS Medicaid Fee-for-Service (FFS) Program Pharmacists as Immunizers Fact Sheet (Update September 2020)
09/01/20 Retroactive Dispensing Fee Update
08/03/20 New York State (NYS) Medicaid Fee-for Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 08/06/2020
06/24/20 Updated Pharmacy Guidance for Long Term Care (LTC) Providers and Prior Authorization Requirements
06/18/20 New York State (NYS) Medicaid Fee-for- Service (FFS) Policy and Billing Guidance for COVID-19 Testing and Specimen Collection at Pharmacies As of 06/17/2020
06/18/20 Retroactive Repricing Update
05/29/20 New York State (NYS) Medicaid Fee-for- Service (FFS) Policy and Billing Guidance for COVID-19 Testing at Pharmacies
05/22/20 Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of 05/22/2020
05/08/20 Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of 05/08/2020
05/01/20 Attention Pharmacy Providers - Important Information Regarding Drug Shortages as of 04/30/2020
04/17/20 Medicaid Pharmacy Prior Authorization Program Update Effective 05/14/2020
04/07/20 Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York - COVID-19 (As of 04/06/2020)
04/01/20 Important Information Regarding Drug Allocation/Shortages as of 04/01/2020
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