Jump to...

Commercial Insurance
General
Medicaid Enrollment




Commercial Insurance [Back to Top]
Q:Is there any registration with an insurance company before we start claiming? Answer
A: The Fiscal Agent will enroll you with a commercial insurance clearinghouse automatically. Some individual insurance companies may require a separate agreement between the provider and the insurance company directly, but many do not.

[ Link ]

General [Back to Top]
Q:Are the municipalities still responsible for sending a copy of the authorization numbers to the agencies?Answer
A: Yes, the municipalities will still be sending authorization numbers.

[ Link ]
Q:Do I need a log in and password for the Interim State Fiscal Agent (ISFA) system?Answer
A: Yes. That information will be sent to the email address that is on file in NYEIS.

[ Link ]
Q:How do I get set up to begin electronic claiming with NYEIS?Answer
A: Visit http://www.cma.com/nyeis/NYEarlyInterventionInformation.html or contact the NYEIS help desk via nyeis@cma.com or 518-640-8390.

[ Link ]

Medicaid Enrollment [Back to Top]
Q:Do we have to report our employees with Medicaid before we bill Medicaid? Answer
A: The eMedNY website has a FAQ page: https://www.emedny.org/HIPAA/5010/FAQs/MI01_NPIReportingFAQS.pdf that provides some good information. Essentially, an agency does need to report the NPIs of their employees. Providers may do this themselves through ePaces (see https://www.emedny.org/HIPAA/NPI/Facility%20Practitioner%20NPI%20Reporting%20%28Web%20Instructions%29.pdf ). Additionally, the NYS fiscal agent has agreed to help facilitate this process by transmitting batch files for billing providers, as new rendering providers are encountered on claims.

[ Link ]
Q:Do we need to wait for approval as a Medicaid provider before we submit those children's bills, as it could take 3-4 months to hear for approval?  Answer
A: No, you can submit claims to both NYEIS and KIDS (through www.EIBilling.com). However, the claims will not be reimbursed without the Medicaid Provider #.

[ Link ]
Q:How do we register our NPI numbers with this ETIN? Answer
A: If you would like to obtain an ETIN, visit https://www.emedny.org/info/ProviderEnrollment/cmcm/Option2.aspx for the forms

[ Link ]
Q:Should agencies complete the Electronic Funds Transfer Authorization Forms from Medicaid?Answer
A: This is the billing provider's choice. The billing provider can either have Medicaid payments directly deposited into their account or have a check mailed to them.

[ Link ]
Q:Should we be obtaining an ETIN number or is the NYS fiscal agent considered to be a service bureau/billing agent? Answer
A: The interim fiscal administrator (IFA) is considered a service bureau/billing agent. The IFA will use their own ETIN for submitting electronic claims (837 files) and retrieving electronic remittance advice (835 files).

[ Link ]
Q:Should we sign up for the electronic remittances or is the state going to provide us the remittance?Answer
A: The fiscal agent will get the electronic remittances directly from Medicaid. They will not go to the provider.

[ Link ]
Q:What is an ETIN? Answer
A: An ETIN is an Electronic Transmitter Identification number. It is used in the process for submitting and receiving electronic files.

[ Link ]
Q:Which Medicaid enrollment form do I fill out? Answer
A: You should have received an email with instructions. If you did not receive this, contact BEI via BEI@health.state.ny.us.

[ Link ]