A recent update of EIBilling included an enhancement of the Provider Payment Profile Report, specifically the inclusion of a new row titled 'Closed' claims., Follow this link for additional information on this report update.

When utilizing the Medicaid 835 Remittance Detail Report, please note that there are 2 new date fields, From and To Date (for dates of service). Please select From Date of 4/1/2013 and To Date of current date in order to view all claims within the chosen cycle. Please follow the link to see an image of the date fields.

Have you experienced one or more of the following: Pages repeatedly loading or lagging? Login/sign-in problems? Images or videos not loading? If the answer is 'Yes' to any of these questions, clearing the browser cache may improve performance. Follow this link for guidance on clearing the browser cache on Android phones and iPads/iPhones.

The SFA has noticed an increase in Aetna rejections due to provider or therapist NPI number not being registered with Aetna. Please follow the link to register your NPI number with Aetna. You may choose to send in five or fewer at a time or request a spreadsheet to submit more than 6 at a time. This will ensure that your claims will be accepted and adjudicated by Aetna.

The SFA has seen a large increase in rejections for claims sent to Beacon Health Options. Providers that have children with Beacon Health Options (formerly Value Options) for which the claims address used to be PO Box 1800 in Latham, NY, the address has now changed, so please select Beacon Health 600475 in NYEIS with the P.O. Box 1850, Hicksville, NY 11802-1850.

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The New York State Department of Health Bureau of Early Intervention is conducting a needs assessment to help inform the development of future trainings for Early Intervention Program (EIP) stakeholders. This survey is for ALL EIP stakeholders. The data collected through this tool will help to identify the specific learning needs of EI stakeholders and provide suggestions for future training topics. Please click the link to access the survey.

An August 2020 Medicaid Update addressed amendments to New York Social Services Law §363-d. Effective April 1, 2020, Social Services Law (SOS) §363-d was amended to make changes to the mandatory compliance program requirements and permit the imposition of a monetary penalty for failing to adopt and implement an effective compliance program. Compliance with the requirements of SOS §363-d is a condition of payment of the medical assistance program. Please click the link to read the complete Medicaid Update.

Follow the link to check out current and past issues of "The Hub Club" newsletter, your source for updates on the transition to EI-Hub.

This 10 minute video demonstrates the functionality of the 835 Insurance Uploader, and was designed for providers who are not already enrolled for 835’s with PCG’s Clearinghouse. If your agency is already enrolled, you may get an error message....IMPORTANT: Do not use this loader if you have already signed up for 835 with PCG. Follow the link for video access, and please click the screen to begin playback. Released September 28, 2020.

This notice provides recommended guidance on billing for translation as part of a child’s core evaluation. In an effort to increase EI payments, and to ensure that the commercial payers remit payment for the core evaluation and reduce the duplicate claim denials, EI Providers are recommended to add translation code T1013 to a core evaluation claim when a translator is present during a child evaluation. For more information, please follow the link.

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