RE: Status Update of Extension of Implementation of NYS OASAS COP Rate Codes
Impacted Plans: Mainstream Medicaid Managed Care Plans, Health and Recovery Plans (HARPs), HIV Special Needs Plans (HIV SNPs), and Medicaid Advantage Plus (MAP) Plans
TO: OASAS Comprehensive Outpatient Program (COP) Providers
Dear MetroPlusHealth Provider,
The New York State Office of Addiction Services and Supports (OASAS) is extending the effective date for the new Comprehension Outpatient Program (COP) rate codes (1036 and 1039) for providers and sites assigned these codes from November 3, 2024, to January 6, 2025.
If a COP provider chooses to use the APG rate codes or the COVID-bundled rate codes (i.e., rate codes 7969 – 7976) for dates of service (DOS) between August 1, 2024, and January 6, 2025, MetroPlusHealth will not require claim adjustments to switch to the COP rate codes retroactively.
Note: Effective January 6, 2025, the rate codes used by COP providers (1540, 1564, 1528, 1567) will be zeroed out prospectively.
If you have any questions regarding this memo, please contact MetroPlusHealth at: [email protected].
Thank you.
MetroPlusHealth