Medicaid Denial CO-16

For providers that have received the denial code CO-16 M49 or CO-16 MA130 on Medicaid claims, this means that there is an issue with the providers Medicaid profile.

CO-16 M49 indicates an issue with the rate table in the provider's Medicaid profile,

CO-16 MA130 indicates that there is incomplete information in the provider's Medicaid profile.

To correct either issue, providers should contact the BEI.  The BEI can be reached by phone at (518) 473-7016 or by email at bei@health.state.ny.us.

Once the provider's Medicaid profile has been corrected, they can use the Medicaid Claims Needing Attention page to resubmit the claims to Medicaid.