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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.

Want to check if a referring provider is enrolled as an OPRA provider? Check a rendering therapists' NPI? Look up an 835 Denial Code? Follow the link for these and more useful links.

MVP is now rejecting claims if the Billing Provider’s address does not contain a 9 digit zip code. When the provider receives the MVP rejection of “EE-PN4-0379_INVALID BILLING PROVIDER ZIP", you must update your billing address with both with BEI and NYEIS to include the 9 digit zip code. Please resubmit the claims after you see the updated address in your provider profile in EI Billing.

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Effective January 1, 2020, CPT Code 97127 has been removed and replaced with CPT Code 97129, for Therapeutic interventions that focus on cognitive function and compensatory strategies to manage the performance of an activity. Billing providers should advise their therapist and billing staff of these changes. Please follow the link for additional details.

As you know, the NYS Department of Health will soon release the EI-Hub, a new provider enrollment and case management system that will replace NYEIS and integrate the State Fiscal Agent. The EI-Hub will be available in 2020! As we work to develop the EI-Hub solution, we want to better understand how you and your organization use the current system. This will help our team configure the EI-Hub to work well for all users. Please click the link and take a few minutes to complete a short survey.

Please follow the link for the updated list of the ICD-10 codes that were available in NYEIS as of 01/31/2020, and for information on how to request additional codes.

Thank you to everyone that responded to our survey in December regarding upcoming changes to the NYS Early Intervention Program System! We received nearly 1,200 responses and will be using this feedback to make sure our activities align with the needs of all stakeholders. For a look at the survey results AND a video overview of the new EI-Hub solution, please follow the link.

In accordance with Federal Law, Providers who received payments for Early Intervention Services in the 2019 calendar year should expect to receive a number of 1099 forms. Providers will receive a 1099 from New York State Department of Health via the State Fiscal Agent (SFA), for amounts from the State Escrow account in 2019, a 1099 from Medicaid, and a 1099 from each insurance company. Please follow the link for details.

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