The following guidance would only be effective until the official Declared Disaster Emergency in the State of New York over COVID-19 has ended.
Medicaid Pharmacy Guidance Disaster Emergency in the State of New York.pdf
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Emergency Adoption of Amendment and Proposed Amendment to 12 NYCRR 441.2 to Update the New York Workers' Compensation Drug Formulary
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The New York State Department of Health issued a special edition of the Medicaid Update today, March 10, 2020, featuring New York State Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID–19). This Medicaid Update can be found at: https://health.ny.gov/health_care/medicaid/program/update/2020/2020-03-10_covid-19.htm.
In order to increase health care provider participation in the workers' compensation system and improve injured workers' access to timely, quality medical care, the Workers' Compensation Board (Board) is supporting electronic submission of CMS-1500 forms, along with a medical narrative. The CMS-1500 streamlines medical billing and may reduce the paperwork requirements currently in the workers' compensation system.
Free webinar to address your questions
The Board is hosting two free online Q&A webinars to give you an update on the initiative and answer your questions about CMS-1500. Each one-hour session will provide a brief overview of the CMS-1500 initiative as well as the most frequently asked questions we’ve received. We will use the remaining time to answer any additional questions you have. Each webinar will cover identical material.
Registration is required. You can register for either session at: http://www.wcb.ny.gov/webinars/
April 7, 2020: 10:00 a.m. - 11:00 a.m.
April 8, 2020: 2:00 p.m. - 3:00 p.m.
More information
We encourage you to review the CMS-1500 training video (recorded from the first CMS-1500 webinars held in September 2019) and make note of any questions you have prior to attending one of the webinars.
You can also visit CMS-1500 Initiative and CMS-1500 FAQ for more information. The Board will post responses to questions received during the webinars in the FAQ section of the website.
To stay informed of Board news, sign up to get WCB notifications.
Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging – Educational and Operations Testing Period - Claims Processing Requirements
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The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on Wednesday, February 12 at 2:30 p.m. ET to provide an overview of the MIPS Value Pathways (also referred to as MVPs) participation framework, which was outlined in the 2020 Quality Payment Program Final Rule. CMS is committed to co-developing the MIPS Value Pathways with stakeholders and the public, and will be using this webinar to answer questions from organizations interested in providing input on MVPs.
During the webinar, CMS subject matter experts will:
Please note that this webinar will only cover existing information about the MIPS Value Pathways, as found within the 2020 Final Rule, MVPs webpage, and accompanying materials such as the MVPs fact sheet and illustrative diagrams. No new information about the MVPs will be presented during this time.
Webinar Details
Title: MIPS Value Pathways Webinar
Date: Wednesday, February 12, 2020
Time: 2:30 – 3:30 p.m. ET
Registration Link: https://register.gotowebinar.com/register/7531766105167712011
Please note: The audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. CMS will open the phone line for the feedback portion. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com.
CMS has posted the following new Quality Payment Program (QPP) resources to the QPP Resource Library to help eligible clinicians submit their 2019 Merit-based Incentive Payment System (MIPS) data until the submission period closes at 8:00 p.m. EDT on March 31, 2020.
For More Information
Today, January 17, 2020, the Centers for Medicare & Medicaid Services (CMS) updated the Open Payments dataset to reflect changes to the data that took place since the last publication in June 2019. The updated dataset is now available for viewing at https://openpaymentsdata.cms.gov/.
CMS updates the Open Payments data at least once annually to include updates from disputes and other data corrections made since the initial publication of the data. The refreshed Open Payments Data Set includes:
The following is not included in the data refresh:
Note: Updates not included in the refresh are due to the requirement that covered recipients must be provided an opportunity to review data attributed to them for accuracy. For more information about the Open Payments Program timeline, visit www.cms.gov/openpayments
This financial data was submitted by applicable manufacturers and group purchasing organizations (GPOs).
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CMS is pleased to announce that the Open Payments search tool (https://openpaymentsdata.cms.gov/) was updated with the following features:
Entity Profile Updates
Query Builder Renamed “Advanced Search”
Submit questions to the Help Desk via email at openpayments@cms.hhs.gov or by calling 1-855-326-8366 (TTY Line: 1-844-649-2766), Monday through Friday, from 9:00 a.m. to 5:00 p.m. (ET), excluding Federal holidays.
The Help Desk refers media inquiries to CMS’ Press Office for response.
Visit the Resources page on the Open Payments website for many of the above resources.
Centers for Medicare & Medicaid Services (CMS) has sent this update.
To contact CMS go to our Contact Us page.
Due to the opening of the 2019 MIPS data submission period, the Quality Payment Program (QPP) Service Center is projecting an increase in volume of calls and emails between January and March 2020, resulting in longer wait times.
CMS recommends the following to minimize wait times and ensure successful 2019 submission:
