Provider News & Updates
Latest News
Change in Pharmacy Benefit for Medicaid Managed Care Members
Audience: Durable Medical Equipment ProvidersAs you may know, effective April 1, 2023, pharmacy benefits for Medicaid Managed Care and Health and Recovery Plan (HARP) members are covered under Medicaid Fee for Service (NYRx) and not by Excellus BlueCross BlueShield. Effective April 1, you must bill NYRx directly...
HIV-Experienced Provider Identification
Audience: Physicians, Nurse Practitioners and Physician AssistantsExcellus BlueCross BlueShield is required by the New York State Department of Health to identify participating practitioners who have experience treating HIV/AIDS patients and to make this information available to members in our provider directory. An HIV-experienced...
Medicaid Enrollment Requirement Update
Audience: Licensed Clinical Social Workers, Licensed Mental Health Counselors and Licensed Marriage and Family TherapistsSection 5005 of the 21st Century Cures act requires Managed Care Organizations (MCOs) to ensure all eligible Medicaid Managed Care (MMC) and Child Health Plus (CHP) network providers are enrolled with the New York State Fee-for-Service Medicaid program. Per...
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Connection Newsletter
Inside this month's Connection newsletter:
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ACQA Advisor is a quarterly newsletter dedicated to sharing news, updates, and best practices with our ACQA partners