Provided by: Jennifer Kirschenbaum, Esq.
June 18, 2019
I would like to drop NYS Medicaid. Can I, and how?
Answer: (Newsletter assist credit to our healthcare department legal intern, Zachary Sher)
Yes! According to eMedNY and the New York State Medicaid Program General Policy, the process for a provider electing to terminate Medicaid enrollment status requires written notice of intention to terminate not less than 30 days from the date delineated as your termination date in the notice. Mail your notice to: eMedNY, PO Box 4610, Rensselaer, NY 12144. The notice must be sent thirty (30) days in advance and contain the providers National Provider Identifier (NPI) and the desired effective termination date. If you do drop, do not forget to properly notice your participating patients in advance. And remember, if you are writing prescriptions or referrals as a non enrolled doctor, Medicaid will not be required to pay for those items once you are no longer enrolled!
From the Provider Manual -
Termination of Enrollment A provider’s participation in the Medicaid Program may be terminated by either the provider or the Department upon thirty (30) days written notice to the other without cause. https://www.emedny.org/ProviderManuals/AllProviders/PDFS/Information_for_All_Providers-General_Policy.pdf
The process sounds so simple. I am curious to hear anyone's experience electing this process. Was your enrollment properly termianted on time? Please write in.
For a deeper dive on HIPAA and access to PHI, check out Tuesday's webinar (CONDUCTING AND IMPLEMENTING SECURITY RISK ASSESSMENT RECOMMENDATIONS)
available HERE: https://www.youtube.com/embed/8_djEyIqtyc?rel=0.