Attention Municipalities and EI Billing Providers
Annual Medicaid Recertification and Mandatory Electronic
Fund Transfer of Medicaid Payments
**Update May 6, 2014** -
This transmittal replaces the guidance/email provided March 3, 2014. Please
note we are providing a correction to the PCG ETIN and additional Electronic
Funds Transfer (EFT) information.
Dear EI Billing Providers:
This transmittal replaces the guidance/email provided
March 3, 2014. Please note we are providing a correction to the PCG ETIN and
additional Electronic Funds Transfer (EFT) information.
Medicaid Annual Recertification Correction
Recertification is a Medicaid process that links the billing provider to Public
Consulting Group's ETIN (00E8) and is required on a yearly basis. Computer
Science Corporation (CSC)/eMedNY will send out a pre-filled Certification Form
45 days prior to the expiration of each billing provider's current
certification. The billing provider's current certification date is one year
from when the provider previously certified. Computer Sciences Corporation is
Medicaid’s contractor.
The Recertification Form will be pre-filled with the following information: the
PCG ETIN (00E8), billing service name Public Consulting Group, Inc., as of
date, provider name, 10-digit NPI, and the 8-digit MA provider ID number. Please enter a current certification date on your form as CSC cannot process a recertification form with a date more
than 11 months in past or 50 days in future.
Again, the Public Consulting Group (PCG) ETIN that should appear on the
Medicaid Annual Recertification Form is 00E8.
If a provider does not receive the pre-filled form, the attached form can be
used. You will need to enter the date you are submitting the form, the billing
provider name and NPI. The form needs to be signed and notarized and the original
must be mailed to CSC at the following address:
CSC
PO Box 4614
Rensselaer, NY 12144
Please call the eMedNY Call Center at 1 (800) 343-9000 with any questions you
may have or visit www.emedny.org for
additional information.
Electronic Fund Transfer (EFT) of Medicaid Payments
If you have not already signed up for Electronic Funds Transfer (EFT) for your
Medicaid payments you are urged to do so right away.
Please be aware of the following common errors that will
result in the rejection of the EFT form:
1. An original voided check or, if the account does not have checks, an
original notarized bank letter is required.
2. The tax ID entered on the form must be the tax ID you
submitted with your Medicaid enrollment application when you first enrolled in
Medicaid.
3. The EFT form must contain an original signature.
4. The bank account information entered on the form must match the routing and
account numbers on the voided check or in the bank letter.
Please complete all fields.
For those providers who currently receive payments via EFT,
they will have no additional paperwork and will receive payments as they do
today.
If a provider has any additional questions, they should call the eMedNY Call
Center at 1 (800) 343-9000 or visit www.emedny.org.