PDF Dss-4357el Wgiupd General Information System 07 18 00 ...
DSS-4357EL
WGIUPD
GENERAL INFORMATION SYSTEM
DIVISION: Office of Medicaid Management
07/18/00
PAGE 1
GIS 00 MA/013
TO:
Commissioners, Medicaid Directors
FROM:
Betty Rice, Director
Division of Consumer and Local District Relations
SUBJECT: Correct address for submitting Medicaid claims received from
out-of-state medical providers.
EFFECTIVE DATE:
CONTACT PERSON:
Immediately
Division of Provider Relations
This is to remind local departments of social services (LDSS) that all
inquiries from out-of-state medical providers requesting reimbursement for
services provided to New York State (NYS) Medicaid recipients should be
directed to contact the New York State Department of Health as follows:
Fee-for service providers, e.g. physician, not currently enrolled as a
NYS Medicaid Provider should request a provider enrollment package from:
New York State Department of Health
Office of Medicaid Management
Division of Provider Relations
Bureau of Enrollment
99 Washington Avenue, Suite 611
Albany, New York 12210-2806
Questions may be directed to: (518) 486-9440
Institutional providers, e.g. inpatient, clinics, certified home health
agencies etc., not currently enrolled as a NYS Medicaid Provider should
request a provider enrollment package from:
New York State Department of Health
Office of Medicaid Management
Division of Provider Relations
Bureau of Medical Review and Payment
99 Washington Avenue, Suite 800
Albany, New York 12210-2806
Questions may be directed to: (518) 474-8161
Any out-of-state medical provider with questions should be directed to
the appropriate number as listed above.
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