Press
17
Apr
Changes to Care Management Services for Children’s Waiver Home and Community-Based Services (HCBS)
What You Need to Know: Prior to January 1, 2026, Children’s Waiver HCBS eligibility determinations for members not already enrolled…
30
Mar
New York State Medicaid Coverage of MRI Guided High Intensity Focused Ultrasound for Essential Tremor
TO: All Providers Effective January 1, 2026, per New York State (NYS) Medicaid guidelines, MetroPlusHealth will cover Magnetic Resonance Image…
24
Mar
Breast Cancer Screening Guidelines (Age Criteria Update)
Dear Valued MetroPlusHealth Provider, MetroPlusHealth is committed to keeping our provider network informed on important clinical changes. This notice is…
20
Mar
Reminder: Status Update of OASAS Opioid Treatment Program (OTP) Bundles to Ambulatory Patient Groups (APG) Methodology
TO: ALL OASAS Opioid Treatment Programs Reminder: Status Update of OASAS Opioid Treatment Program (OTP) Bundles to Ambulatory Patient Groups…
09
Mar
MetroPlusHealth – Important Reminder: PCP Replacement for Provider Terminations
Dear Valued Provider, We’d like to share a friendly reminder about the importance of notifying us at least 30 days…
27
Feb
New York State Medicaid Coverage of Tumor Treatment Field Therapy
TO: All Providers Effective 12/1/25, MetroPlusHealth will cover the provision of Tumor Treatment Field Therapy (TTFT) when billed under HCPCS…
26
Feb
Additional Enhanced Rates for Evidence Based Practices (EBPs) within Children and Family Treatment and Support Services (CFTSS)
TO: Children and Family Treatment Support Services (CFTSS) Provider Agencies (Retro) Effective January 1, 2025, the New York State (NYS)…
12
Feb
Medicaid Practitioner Administered Drugs Update: CGT
TO: All Medicaid Providers Effective January 1, 2026, the New York State (NYS) Department of Health has applied to participate…
10
Feb
Long-Term Nursing Home Placement Notice Provider Memo
Dear Nursing Home Administrator: As a valued partner in delivering comprehensive, long-term care to MetroPlusHealth members identified as requiring Long-Term…
06
Feb
MetroPlusHealth is proud to announce our 2026 Provider Pay for Performance (P4P) program
This program rewards providers who meet specific goals for delivering quality and efficient care goals to MetroPlusHealth members enrolled in…
last updated: October 11, 2023