Press

01 Jul

AMNY METRO, POLITICSNY, and Gay City News’ “2025 LGBTQ+ Power Players” Recognizes Mitchell Katz, MD, and Ken Louie

(New York, NY – June 30, 2025) – NYC Health + Hospitals today announced that NYC Health + Hospitals’ President…
10 Jun

RE: Updated Billing Changes to the Telehealth Audio-Only Modifier Use for OMH-Licensed/Designated Outpatient Programs Grid and Audio-Only Modifier Change

IMPACTED PLANS: Medicaid, HIV SNP, HARP, and MAP Dear MetroPlusHealth Provider, Effective July 1, 2025, OMH providers should use modifier…
10 Jun

Lab Reimbursement Policy

Dear Valued Provider, MetroPlusHealth is committed to keeping our provider network informed of important policies. This notice serves as a…
06 Jun

29-I Health Facility Billing Manual Update – Procedure Code 98016

IMPACTED PLANS: MEDICAID and HIV SNP Dear MetroPlusHealth Provider, Effective as of January 1, 2025, the Office of Mental Health…
29 May

POLITICSNY and AMNY Honor NYC Health + Hospitals and MetroPlusHealth Leaders on 2025 “AAPI Power Players” List

(From left) Dr. Khoi Luong, Senior Vice President of Post-Acute Care at NYC Health + Hospitals; Lila Benayoun, Chief Operating…
07 May

Availity Eligibility and Claim Inquiry Update

MetroPlusHealth is continuing to offer additional resources to meet the needs of our provider network. We are expanding our partnership…
29 Apr

RE: HEALTH HOMES ADDED TO ELIGIBLE PROVIDERS FOR COMMUNITY HEALTH WORKERS

TO: ALL PROVIDERS Dear MetroPlusHealth Provider, Effective April 1, 2025, the New York State Department of Health has released notice…
25 Apr

Coverage for Prenatal Vitamins

Beginning January 1st, 2025, MetroPlusHealth’s Qualified Health Plan (QHP), Essential Plan (EP), Gold & GoldCare members will have coverage for…
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)…
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),…
last updated: October 11, 2023

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