Press
17 Apr
RE: TELEHEALTH – CHANGES TO AUDIO-ONLY BILLING
TO: ALL PROVIDERS As of January 1, 2025, per New York State Medicaid updated guidance, the American Medical Association (AMA)…
14 Apr
Availity Eligibility and Claim Inquiry Update
Effective on April 28, 2025, MetroPlusHealth starts a strategic partnership with Availity® to serve as our 270/271 (Member Eligibility Inquiry/Response)…
11 Apr
RE: eConsults Expansion
TO: All MetroPlusHealth Providers Effective as of March 1, 2025, MetroPlusHealth will reimburse eConsult services for Hospital Outpatient Departments (OPDs),…
08 Apr
RE: SBHC COVERED SERVICES
IMPACTED PLANS: MEDICAID & HIV SNP (also known as Partnership in Care) Dear MetroPlusHealth Provider, Effective May 1, 2025, onwards,…
01 Apr
URGENT MESSAGE FOR OUR MEMBERS AND THEIR PAID CAREGIVERS:
Make sure your caregiver continues to get paid for your Consumer Directed Personal Assistance Program (CDPAP) services for the month…
01 Apr
URGENT MESSAGE FOR YOUR PATIENTS AND THEIR PAID CAREGIVERS
Your patients who participate in the Consumer Directed Personal Assistance Program (CDPAP), and/or their personal assistant(s), must take IMMEDIATE ACTION…
01 Apr
RE: New Medicare Behavioral Health Utilization Management (BHUM) and ABA Fax Line
TO: All Behavioral Health Providers Effective April 1, 2025, MetroPlusHealth will have a new Medicare BHUM fax number, below: BHUM…
19 Mar
RE: Doula Services IMPACTED PLANS: Medicaid, HIV SNP, HARP and EP
TO: MetroPlusHealth Doula and OB/GYN Providers RE: Doula Services IMPACTED PLANS: Medicaid, HIV SNP, HARP and EP Dear MetroPlusHealth Provider,…
14 Mar
URGENT MESSAGE FOR YOUR PATIENTS AND THEIR PAID CAREGIVERS REGARDING CDPAP CHANGE
Your patients who participate in the Consumer Directed Personal Assistance Program (CDPAP), and/or their personal assistant(s), must take IMMEDIATE ACTION…
12 Mar
RE: COVERAGE OF HYPOGLOSSAL NERVE STIMULATORS
TO: MEDICAID MANAGED CARE PROVIDERS Dear MetroPlus Health Provider, Effective March 1, 2025, per New York State (NYS) Medicaid guidance,…
last updated: October 11, 2023