New York

The Office of Health Insurance Programs of the State Department of Health has approved the release of the June 2025 Medicaid Update. The current issue’s table of contents includes the following:

All Providers

• New York State Recipient Restriction Program and Health Home Care Management Program Services (Cover)
• New York State Department of Health Announces New Advisory Boards: Medicaid Advisory Committee and Beneficiary Advisory Council
• Notification of Pregnancy to Medicaid Managed Care Plans
• New York State Office of the Medicaid Inspector General to Perform Compliance Program Reviews Using a 12-Month Review Period

Policy and Billing

• Payment Error Rate Measurement Upcoming Request for New York State Medicaid Provider Documentation
• Update and Reminder: Medicaid Policy on Loss of Records Due to Unforeseen Events

Pharmacy

• Notice for Upcoming Over-the-Counter Coverage Changes
• Attention Providers: Disclosure of Ownership and Control Information

Also in New York, the July Department of Health (DOH) Pharmacy Association meeting shared the updated form for NYRx, the New York State Medicaid Pharmacy Program Coordination of Benefits: Non-Preferred Diabetic Supplies, as discussed in the July Department of Health (DOH), Office of Health Insurance Programs (OHIP) and Pharmacy Associations meeting. The update is also located on the DOH website in the Medical Supplies section under Preferred Diabetic Supply Program (PDSP).

For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.