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NYS Medicaid Pharmacy Prior Authorization Programs

Notifications

Notifications

Provider Notifications
Date Title
Date Title
11/06/18 Preferred Diabetic Supply Program Update
11/02/18 Delay in Professional Dispensing Fee Change
10/29/18 Medicaid Fee-for-Service (FFS) Coverage of Topical Compounded Drug Products
10/26/18 Update to Medicaid FFS Pharmacy Professional Dispensing Fee
10/25/18 Pharmacists as Immunizers Fact Sheet (October 2018)
10/01/18 Pharmacy Pricing Policy – Submission of Usual and Customary (U&C) Price
09/27/18 Pharmacy Provider - Rebate Signer Update
09/12/18 New Duplicate Editing for Pharmacy and Medical Crossover Claims
09/12/18 New Edit to Validate Submitted Procedure Codes and Associated NDCs
08/31/18 NYS Medicaid FFS Program - Pharmacists as Immunizers Fact Sheet (Update August 2018)
07/12/18 Medicaid Pharmacy Prior Authorization Programs Update
07/09/18 Foster Care Carve Out Drug List
07/09/18 Hep C Prescriber Experience Criteria Lifted
04/23/18 Medicaid Pharmacy Prior Authorization Programs Update
03/23/18 Extension of Executive Order for Flu Vaccine
02/01/18 CHANGE IN MEDICAID FEE FOR SERVICE BILLING FOR FLU VACCINE ADMINISTRATION
01/30/18 Medicaid FFS Pharmacy - Change in Early Fill Edit for Controlled Substances
01/24/18 System enhancements to improve the submission of Medicaid FFS pharmacy claims for Long Term Care (LTC) pharmacy providers when reporting Short Cycle Billing
01/24/18 NYS MEDICAID FEE FOR SERVICE (FFS) - NCPDP D.0 SYSTEM EDITING ON 340B DRUG CLAIMS
01/24/18 Changes to Medicaid FFS Pharmacy Reimbursement - Changes to Fee-For-Service (FFS) pharmacy reimbursement for ingredient cost and professional dispensing fee per the enacted budget are scheduled to be implemented February 22, 2018
11/27/17 Medicaid Pharmacy Prior Authorization Programs Update
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