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30 results found available within Coverage and Reimbursement Clear All
Coverage and Reimbursement
Medical Services in Bedded Programs

Description of medical services covered within the per diem, and those outside of the per diem in bedded Crisis, Inpatient, and Residential Programs.

 

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Reimbursement, Coverage and Reimbursement
Reimbursement Addendum

Overview and updates on the current statutory, regulatory, clinical, and reimbursement changes that were put into place since the beginning of the pandemic pursuant to Executive Order...

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Coverage and Reimbursement
Dual Billing Guidance for Opioid Treatment Programs

Effective January 1, 2021, OTP providers billing services for individuals eligible for both Medicare and Medicaid should not bill Medicaid until a claim has been processed by...

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Coverage and Reimbursement
Peer Service Reimbursement Code Change

Letter to outpatient treatment providers outlining the transition for peer services from the Enhanced Rate Code to the Standard Rate Code

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Coverage and Reimbursement, Guidance
Medicaid Ordering/Prescribing/Referring/Attending (OPRA) Guidance

Updated Medicaid (OPRA) Guidance for OASAS Certified Providers. Updated November 2020.

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Coverage and Reimbursement
Not Apply Procedures

Procedure which allows Part 820 Providers to not apply surplus revenues for up to three consecutive years from the year of certification.

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Coverage and Reimbursement
Medicaid Managed Care Enrollment Guidance

Expedited Medicaid Managed Care enrollment for individuals receiving services from a Part 820 Residential Program.

  • Download about Medicaid Managed Care Enrollment Guidance
Coverage and Reimbursement
Maintaining Managed Care Enrollment

NYS Office of Temporary and Disability Assistance guidance on maintaining uninterrupted managed care enrollment for individuals receiving OASAS residential services (Title 14 Part 820) when a case is...

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Telepractice & Regulatory Guidance, Reimbursement, Coverage and Reimbursement
Telepractice Service Modifiers Crosswalk

Telehealth rate code modifiers for licensed/designated programs for the duration of the COVID-19 emergency period starting 3/17/20. Issued May 12, 2020.

 

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Telepractice & Regulatory Guidance, Opioid Treatment Programs, Reimbursement, Coverage and Reimbursement
Telepractice Rate Code FAQs for Opioid Treatment Programs

Frequently Asked Questions for on providing and billing for OASAS telepractice services amid COVID-19 including rate codes for reimbursement. Issued May 12, 2020.

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