Industry Changes
Important Information on Growth Hormone Coverage for Idiopathic Stature
Effective 5/3/2012, New York State Medicaid will no longer cover Growth Hormone (GH) for patients with a diagnosis of Idiopathic Short Stature (ISS).
The Medicaid Redesign Team (MRT) Basic Benefit Review Work Group Phase II recommendations included the elimination of coverage of GH for treatment of ISS. The MRT work group determined that coverage for ISS is not medically necessary but cosmetic in purpose and does not treat a medical condition defined by growth hormone deficiency.
For additional information please visit the MRT Website: http://www.health.ny.gov/health_care/medicaid/redesign/
Medication Therapy Management Program
| Medication Therapy Management Program Provider Letter |
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Educational Materials
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Community Health Worker Asthma Educator Certification Preparation Course Application |
Restricted Recipients: Medicaid and Family Health Plus Programs
| What is the Restricted Recipient Program |
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| Restricted Recipient Provider Letter |
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Personal Care: Medicaid and Family Health Plus Programs
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Personal Care Letter and Frequently Asked Questions for Providers |
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Personal Care Letter and Frequently Asked Questions for Administrative Staff |
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| Medical Request For Home Care (M-11Q form) - Please fax completed forms to 1-646-313-4603 |
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Pharmacy Benefits: Medicaid and Family Health Plus Programs
Prior Authorization Process
Physicians will be asked to contact CVS CareMark Prior Authorization department:
- Medicaid: 877-433-7643
- Medicare: 855-344-0930
- Commercial: 800-294-5979
Fax numbers:
- Medicaid: 866-848-5088
- Medicare: 855-633-7673
- Commercial: 888-836-0730
