Medicaid Issues Updates:
NYS DOH Updates
Medicaid Reimbursement to Pharmacy Updates
- How to File a Complaint with Medicaid:
- Medicaid Pharmacy Policy: email@example.com
This is for pharmacy providers, enrollees or other stakeholders regarding specific pharmacy issues, such as inappropriately denied claims, whether a FFS drug is covered, or other claim issues that may impact a member's access to medication.
- Managed Care Plan: firstname.lastname@example.org
This is used by the Division of Health Plan Contracting and Oversight for a variety of managed care concerns/complaints, as listed on their contact webpage here. This contact page also gives their mailing address, as well as phone numbers for specific issues/concerns.
For Complaints regarding general reimbursement issues on Specialty drugs, which are a contract issue use this email address email@example.com. Contract issues are not within the purview of the NYS Medicaid Pharmacy office.
- Delivery System Reform Incentive Payment (DSRIP) Program:
On April 14, 2014 Governor Andrew M. Cuomo announced that New York has finalized terms and conditions with the federal government for a groundbreaking waiver that will allow the state to reinvest $8 billion in federal savings generated by Medicaid Redesign Team (MRT) reforms. Listed are resources for DSRIP
A revised document of all public comments received by DOH regarding DSRIP PPS Project Plan Applications as well as a summary of the public comments has been posted to the website and is available here.