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