OASAS providers will learn more about the opening of the new Health Plan Marketplace and the importance for clients and staff. Rob Kent, OASAS general counsel, along with Donna Frescatore, executive director of NY State of Health will speak about the new Marketplace and what it can offer.
OASAS Commissioner Arlene González-Sánchez encourages you as OASAS providers to inform and assist your uninsured clients/patients and show them how they can access affordable health insurance now through the New York State of Health Marketplace. Open enrollment began October 1, 2013 for coverage that will start as early as January 1, 2014. The Marketplace will make it possible for your clients suffering from substance use disorder and mental illness to get affordable health insurance so they can enter into treatment and recovery for their addictions. A series of free informational
New York State of Health Marketplace posters are available to download, print and display within your centers. The posters provide information for individuals to call or go online to find a quality, low-cost health plan that’s right for them.
Beginning January 1, 2014, Medicaid Fee-for-Service claims submitted by OASAS providers must include the National Provider Identifier (NPI) of the Ordering/Referring/Prescribing (OPRA) practitioner. If the NPI of the practitioner is missing from the claim, the claim will be denied.
As a result of the implementation of the CASAC Standardized Curriculum on September 1, 2013, the deadline for submitting single certificates as part of a CASAC application is January 1, 2014. Only those who submit or have submitted an application to the OASAS Credentialing Unit by January 1, 2014, will be permitted to use single certificates for initial coursework credit.
A new web page for news and resources for the move to Medicaid Managed Care are now live. Providers, plan representatives and the public can view documents and links to resources related to the move from fee-for-service to managed Medicaid reimbursement.
The October 1, 2013, implementation of new claims editing requiring Medicaid enrollment for ordering/prescribing/referring/attending (OPRA) physicians and healthcare professionals has been delayed until January 1, 2014. Under the Affordable Care Act, there is a provision that all patients that wish to fill a prescription utilizing their Medicaid health insurance must have had the prescription written by a Medicaid enrolled provider or Medicaid will not pay for the prescription. Please note that there are two levels of enrollment in Medicaid and prescribers are being asked to enroll in the prescriber, no billing level.
The New York State Office of Alcoholism and Substance Abuse Services (OASAS) in collaboration with the New York State Department of Health (DoH) have produced new materials to raise awareness about prescription drug misuse. The materials are free and individuals may print copies or place an order to receive a supply via the mail.
Beginning August 22, 2013, as Electronic Transmitter Identification Number approaches its yearly expiration date, providers will receive notification instructing them to complete either (or both) forms (EFT and ERA or PDF) or return a signed and notarized certification form. New providers must submit an EFT application with their enrollment application. Failure to follow the new requirements will result in claim rejection and jeopardize payments. For additional information, please visit the eMedNY website or contact the eMedNY call center at 1-800-343-9000.
All not-for-profit grantees are required to prequalify prior to any grant application and/or execution of a contract or a contract amendment. OASAS will not be able to enter into contracts with any grantee who has failed to complete the prequalification process. To learn more about prequalification, go to the Grants Reform website at www.grantsreform.ny.gov/Grantees where you can preview questions and required documents.
IMPORTANT! The Justice Center for the Protection of People with Special Needs will be operational on June 30, 2013. Functions of the Justice Center required by law will affect OASAS providers and credentialed persons in many ways. Follow the link to our new OASAS Justice Center web page for more information. Visit this page frequently for updates.