Name (for use in forms) | Market | Title | Reimbursement Category | Approval Status | Plan |
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NYNY_CAID_RP_Abortion.pdf | NY | Abortion (Termination of Pregnancy) | Surgery | Approved | Medicaid |
NYNY_CAID_RP_AssistantatSurgery.pdf | NY | Assistant at Surgery (Modifiers 80/81/82/AS) | Coding | Approved | Medicaid |
NYNY_CAID_RP_ClaimsRequiringAdditionalDocumentation.pdf | NY | Claims Requiring Additional Documentation | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_ClaimsTimelyFiling.pdf | NY | Claims Timely Filing | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_ClaimswithChargeDiscrepancies.pdf | NY | Reimbursement of Claims with Charge Discrepancies | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_CodeandClinicalEditingGuidelines.pdf | NY | Code and Clinical Editing Guidelines | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_Consultations.pdf | NY | Consultations | Evaluation and Management | Approved | Medicaid |
NYNY_CAID_RP_DiagUsedinDiagnosesRelatedGroupsComputation.pdf | NY | Diagnoses Used in DRG Computation | Coding | Approved | Medicaid |
NYNY_CAID_RP_DrugsInjectableLimits.pdf | NY | Drugs and Injectable Limits | Drugs | Approved | Medicaid |
NYNY_CAID_RP_DupSubsequentSvsonSameDate.pdf | NY | Duplicate or Subsequent Services on the Same Date of Service | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_EligibleCharges.pdf | NY | Reimbursement for Eligible Billed Charges | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_EPSDT.pdf | NY | Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) | Prevention | Approved | Medicaid |
NYNY_CAID_RP_ERNonParticProvFac.pdf | NY | Emergency Services: Non-Participating Providers and Facilities | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_FacilityTakeHomeDrugs.pdf | NY | Facility Take-Home Drugs | Drugs | Approved | Medicaid |
NYNY_CAID_RP_GlobalSurgicalPckg.pdf | NY | Global Surgical Package for Professional Providers | Surgery | Approved | Medicaid |
NYNY_CAID_RP_Hysterectomy.pdf | NY | Hysterectomy | Surgery | Approved | Medicaid |
NYNY_CAID_RP_InpatientFacilityTransfers.pdf | NY | DRG Inpatient Facility Transfers | Facilities | Approved | Medicaid |
NYNY_CAID_RP_InpatientReadmissions.pdf | NY | Inpatient Readmissions | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_MaternitySvcs.pdf | NY | Maternity Services | Surgery | Approved | Medicaid |
NYNY_CAID_RP_MedicalRecalls.pdf | NY | Medical Recalls | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_Modifier22IncreasedProcSvc.pdf | NY | Modifier 22: Increased Procedural Service | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier24UnrelatedEMService.pdf | NY | Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier25EMServices.pdf | NY | Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier57DecisionforSurgery.pdf | NY | Modifier 57: Decision for Surgery | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier59DistinctProceduralSvc.pdf | NY | Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier62CoSurgeons.pdf | NY | Modifier 62: Co-Surgeons | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier63.pdf | NY | Modifier 63: Procedure Performed on Infants less than 4 kg | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier66.PDF | NY | Modifier 66 Surgical Teams | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier76RepeatProcedurebySamePhysician.pdf | NY | Modifier 76: Repeat Procedure by the Same Physician | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier77RepeatProcedureAGP.pdf | NY | Modifier 77: Repeat Procedure by Another Physician | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier78.pdf | NY | Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Coding | Approved | Medicaid |
NYNY_CAID_RP_Modifier91RepeatLabTest.PDF | NY | Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Coding | Approved | Medicaid |
NYNY_CAID_RP_ModifierUsagePolicy.pdf | NY | Modifier Usage | Coding | Approved | Medicaid |
NYNY_CAID_RP_ModsLTRTProcedures.pdf | NY | Modifiers LT and RT: Left Side/Right Side Procedures | Coding | Approved | Medicaid |
NYNY_CAID_RP_MultipleBilateralSurgery.pdf | NY | Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Coding | Approved | Medicaid |
NYNY_CAID_RP_MultipleRadiology.pdf | NY | Multiple Radiology Payment Reduction | Radiology | Approved | Medicaid |
NYNY_CAID_RP_ObsoleteCodes.pdf | NY | Reimbursement of Services with Obsolete Codes | Coding | Approved | Medicaid |
NYNY_CAID_RP_OPPC.pdf | NY | Other Provider Preventable Conditions (OPPC) | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_PreadmissionSvcsforInpatientStays.pdf | NY | Pre-Admission Services for Inpatient Stays | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_PresentonAdmissionIndcator.pdf | NY | Present on Admission Indicator for Health Care Acquired Conditions | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_PreventativeandSickVisitsSameDay.pdf | NY | Preventive Medicine and Sick Visits on the Same Day | Evaluation and Management | Approved | Medicaid |
NYNY_CAID_RP_ProfessionalAnesthesiaServices.pdf | NY | Professional Anesthesia Services | Anesthesia | Approved | Medicaid |
NYNY_CAID_RP_ProofofTimelyFiling.pdf | NY | Requirements for Documentation of Proof of Timely Filing | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_ProstheticOrthoticDevices.pdf | NY | Prosthetic and Orthotic Devices | Prosthetics and Orthotics | Approved | Medicaid |
NYNY_CAID_RP_ReimbforItemsUnderWarranty.pdf | NY | Reimbursement for Items under Warranty | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_SanctionedOptOutProviders.pdf | NY | Reimbursement of Sanctioned Providers | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_ScopeofPractice.pdf | NY | Scope of Practice | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_SiteofSvcPaymtDifferential.pdf | NY | Site of Service Payment Differential - Professional | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_SplitCareSurgicalModifiers.pdf | NY | Split-Care Surgical Modifiers | Coding | Approved | Medicaid |
NYNY_CAID_RP_Sterilization.pdf | NY | Sterilization | Surgery | Approved | Medicaid |
NYNY_CAID_RP_TransportaionServices.pdf | NY | Transportation Services: Ambulance and Nonemergent Transport | Transportation | Approved | Medicaid |
NYNY_CAID_RP_UnlistedorMiscCodes.pdf | NY | Unlisted, Unspecified or Miscellaneous Codes | Coding | Approved | Medicaid |
NYNY_CAID_RP_VaccinesforChildren.pdf | NY | Vaccines for Children (VFC) Program | Prevention | Approved | Medicaid |
NYNY_CAID_RP_PortableMobileHandheldRadiology.pdf | NY | Portable/Mobile/Handheld Radiology Services | Radiology | Approved | Medicaid |
NYNY_CAID_RP_FacilityTakeHome.pdf | NY | Facility Take-Home DME and Medical Supplies | DME and Supplies | Approved | Medicaid |
NYNY_CAID_RP_ClaimsSubmReqdInfoforFacilities.pdf | NY | Claims Submission – Required Information for Facilities | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_ClaimsSubmReqdInfoforProfProv.pdf | NY | Claims Submission – Required Information for Professional Providers | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_DocumentationStandardsforEpisodesofCare.pdf | NY | Documentation Standards for Episodes of Care | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_ReimbforReducedDiscontinuedSvcs.pdf | NY | Reimbursement for Reduced and Discontinued Services | Coding | Approved | Medicaid |
NYNY_RP_PreadmissionSvcsInpatientStays.pdf | NY | Preadmission Services for Inpatient Stays | Facilities | Approved | Medicaid |
NYNY_CAID_RP_DMERenttoPurchase.pdf | NY | Durable Medical Equipment (Rent to Purchase) | DME and Supplies | Approved | Medicaid |
NYNY_CAID_RP_DMEModifiers.pdf | NY | DME Modifiers for New, Rented and Used Equipment | Coding | Approved | Medicaid |
NYNY_CAID_RP_MaxUnitsPerDay.pdf | NY | Reimbursement for Maximum Units Per Day | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_CorrectedClaims.pdf | NY | Corrected Claims | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_Mod26.pdf | NY | Modifier 26 and TC: Professional and Technical Component | Coding | Approved | Medicaid |
NYENY_MultiDelivery.pdf | NY | Multiple Delivery Services | Surgery | Approved | Medicaid |
NYE_NY_CAID_RP_RoboticAssistedSurgery.pdf | NY | Robotic Assisted Surgery | Surgery | Approved | Medicaid |
NYNY_CAID_RP_LocumTenensTimeCompensition.pdf | NY | Locum Tenens Physicians/Fee-for-Time Compensation | Reimbursement Administration - General | Approved | Medicaid |
NYNY_CAID_RP_DRGNewbornInpatientStays.pdf | NY | DRG Newborn Inpatient Stays | Facilities | Approved | Medicaid |
NYNY_CAID_DrugScreenTesting.pdf | NY | Drug Screen Testing | Laboratory | Approved | Medicaid |