Medicaid Payment Notice - January 10, 2018

Dear EIP Billing Provider,

Please note that the weekly file of new Early Intervention Program claims was transmitted to Medicaid on Thursday, January 4, 2018. As a result, these new claims are being processed as part of Medicaid claims cycle 2108. Payments for claims that pass all Medicaid edits will be transmitted the week of January 17 for providers on the accelerated payment plan and the week of January 31 for those on the normal Medicaid payment cycle 2108. See relevant portion of Medicaid Cycle schedule below. 

Medicaid payments made to providers this week are for claims that were resubmitted to Medicaid in response to a denial or rejection or were released from pended claim status during the Medicaid claim cycle (2107).

The routine weekly file was not sent to Medicaid by Wednesday, January 3rd to be included in Medicaid claim cycle 2107 as a result of the Monday holiday. Pursuant to their contract with DOH, the State Fiscal Agent (SFA) is required to process the EIP provider claims within 48 hours of receipt.  Pursuant to Public Health Law, Section 2557(1), municipalities are required to reimburse Early Intervention Program (EIP) providers at least quarterly for approved EIP services.  

It is important to submit claims timely and frequently to ensure ongoing and timely reimbursement for services. 

If you have any questions about EIP claim submission, please contact the PCG Customer Service Call Center at (866) 315-3747.