Billing Manual 6.26.2018.PDF

The information contained in the billing manual, subject to required State and Federal approvals, reflects the billing structures for the Children’s System Transformation scheduled to begin on January 1, 2019. TBD Billing criteria will be updated by the State. Future updates will only supplement current information, not change what is already in place.

Please use this manual to begin preparation of your claiming systems. 

A supplemental billing manual, New York State Children’s Health and Behavioral Health (BH) Services – Children’s Medicaid System Transformation Guidance for the Transitional Period, will be released shortly that will include guidance on transitional billing procedures, including transitional billing procedures for waiver providers that will transition to Health Home rates and for HCBS services that will transition to State Plan services after January 1, 2019.