Delayed Medicaid Claims

NY Medicaid allows limited use of delay reason 15 "Natural Disaster" following a declaration of State Disaster Emergency in a provider's county. Effective 9/19/2013, claims with dates of service over 90 days old, submitted with Delay Reason 15 "Natural Disaster," cannot be electronically submitted and must be on paper claim forms with the eMedNY Delay Reason Code Form and supporting documentation. The documentation must explain the reason for the delay and provide a sequence of events including when submission came within control of the provider.  The complete notice can be accessed here.  eMedNY timely billing information is here.

Contact:  Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841