Billing
Medicaid Enrollment for Children and Family Treatment Support Services/Home and Community Based Services
- Tells how to get a NPI number as the first step to billing Medicaid managed care
Medicaid Provider Enrollment for Individual Practitioners and Designated Agencies - March 8, 2019
Medicaid Provider Enrollment for New Children's SPA and HCBS Providers - Sept 29, 2017
Walks through the steps necessary to enroll as a Medicaid Provider and be able to bill and be reimbursed by Medicaid.
Billing Related Documents/Guidance
Update to Billing Changes for HCBS and CFTSS Providers - December 15, 2023
Changes to Billing Requirements for Children's HCBS, CFTSS, and 29-I OLHRS FAQ - November 21, 2023
Notification of Updated Children and Family Treatment and Support Services (CFTSS) Rate Sheet - October 19, 2023
Children's Services Billing Change Webinar PDF - October 18 and 19, 2023
- Children's Services Billing Change Webinar for Providers Recording - October 19, 2023
- Children's Services Billing Change Webinar for MMCPs Recording - October 18, 2023
Updates to Billing Requirements for Children's HCBS, CFTSS, and 29-I OLHRS - September 5, 2023
Guidance on Recent Changes to Children's Service Rates - Dec 1, 2020
Children and Family Treatment and Support Services Rates for
- PSR, CPST, FPSS, YPST, and Crisis Intervention (CI) - November 1, 2023
- OLP - November 1, 2023
Trainings and Webinars
Children’s HCBS UM Grid- March 03, 2023
CFTSS UM Grid - March 03, 2023
Children's HCBS Billing - Webinar - Sept 4, 2019
- Covers billing rules and tips for HCBS once the services are carved in to Medicaid Managed Care on Oct 1, 2019.
CFTSS: OLP, PSR and CPST Billing and UM Office Hour - Webinar Nov 15, 2018
- Includes brief presentation and then office hour style Q&A opportunity as a follow up to Billing Update and Utilization Management trainings earlier in the fall.
- FAQ document from this training
CFTSS Billing Update: OLP, PSR, CPST - Webinar Nov 6, 2018
- Reviews updates to billing manual, components of transitional manual and clarifies commonly asked billing questions in order to supplement July 2018 In Person Billing Training.
- FAQ document from this training
Billing for Children's System Transformation - In-person training - July 2018
- Reviews Revenue Cycle Management (RCM), Medicaid provider enrollment and the billing manual including rules for new Children and Family Treatment and Support Services: OLP, PSR and CPST as well as how to submit a clean claim.
- FAQ document from this training
Principles of Revenue Cycle Management and Utilization Management - In-person training- Dec 6, 2017
- Covered foundational principles and best practices for RCM and UM.
Managed Care Communication
- One stop resource for NYS Medicaid Managed Care plan contact information.
Children's System MCO Contracting Fair - In-person training - Nov 6, 2017
- Provided opportunity for provider and MCO networking. Presentation covers OMH lessons learned/tips on contracting.
MCTAC Billing Related Tools
- Shows how to complete a clean claim via an interactive UB-04.
- Maps out key Revenue Cycle Management practices at various stages in service provision.
MCTAC Top Denial Reason Cheat Sheet
- Compilation of the most common denial reasons (with codes) and advice on how to resolve denials.
MCTAC Billing and RCM Tips for Working with MMCPs
- One-pager with key tips/best practices for working with Medicaid Managed Care Plans.