Office of Alcoholism and
Substance Abuse Services


 

The Health Insurance Portability and Accountability Act (HIPAA) and Medicaid Billing

The Health Insurance Portability and Accountability Act (HIPAA) was signed into Federal law in 1996. One part of it requires national standards for the automated transfer of certain health care data between payers, health care plans and providers. These standards apply to New York State’s Medicaid program.

All Medicaid billing done by OASAS providers must be submitted in a HIPPA compliant format. To learn about the standards that make up this format, go to eMedNY HIPAA Support.

The New York State Department of Health and its fiscal agent, Computer Sciences Corporation, have developed EPACES, a free Web based application that allows providers to create and submit HIPAA compliant claims. You must submit HIPAA compliant claims. To use EPACES you must have a Medicaid provider number and register with EPACES. For more information go to eMedNY HIPAA Support.

Additional HIPAA links: