For ProvidersProvider News & Communications

IMPORTANT NOTICE TO OUR APPLIED BEHAVIORAL ANALYSIS (ABA) PROVIDERS REGARDING 2023 ABA BENEFIT CHANGES

MetroPlusHealth has been ramping up for the expansion of Applied Behavior Analysis Services to eligible Medicaid members diagnosed with autism spectrum disorder. Services will become available January 1, 2023, for those members under 21 years of age. Learn more here about new benefits and services coming in 2023.

Read
More

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)…

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)…

RE: eConsults Expansion

TO: All MetroPlusHealth Providers Effective as of March 1, 2025, MetroPlusHealth will reimburse eConsult services for Hospital Outpatient Departments (OPDs),…

RE: SBHC COVERED SERVICES

IMPACTED PLANS: MEDICAID & HIV SNP (also known as Partnership in Care) Dear MetroPlusHealth Provider, Effective May 1, 2025, onwards,…
last updated: December 29, 2022

Ready to Join Us?

Talk to us about questions or concerns

 866.496.6636 (TTY: 711) 866.496.6636 (TTY: 711)

Monday – Saturday | 8 a.m.– 8 p.m. (ET)
Sunday | 9 a.m.– 5 p.m. (ET)

Already A Member?

Talk to us about any questions or concerns

 800.303.9626 (TTY 711) 800.303.9626 (TTY 711)

Monday – Saturday | 8 a.m.– 6 p.m. (ET)
Sunday | 9 a.m.– 5 p.m. (ET)

MetroPlusHealth
Powered by  GDPR Cookie Compliance
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.