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Medicaid Resources
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Monthly OHIP Meetings

  • PSSNY and other pharmacy stakeholders meet monthly with NYS Dept of Health,Office of Health Insurance Programs
  • Officials from other departments, including the executive offices attend when appropriate
  • DOH provides updates and gathers feedback on issues affecting pharmacists in NY

Medicaid Issues Updates:

  • PSSNY Updates

    • Weekly EScript contains Medicaid Updates
  • NYS DOH Updates

Medicaid Managed Care

File a Complaint with Medicaid:

  • Medicaid Pharmacy Policy: ppno@health.ny.gov 
    This is for pharmacy providers, enrollees or other stakeholders regarding specific pharmacy issues, such as inappropriately denied claims, whether a FFS drug is covered, or other claim issues that may impact a member's access to medication.
  • Managed Care Plan: omcmail@health.ny.gov
    This is used by the Division of Health Plan Contracting and Oversight for a variety of managed care concerns/complaints, as listed on their contact webpage here.  This contact page also gives their mailing address, as well as phone numbers for specific issues/concerns.
    For Complaints regarding general reimbursement issues on Specialty drugs, which are a contract issue use this email address managedcarecomplaint@health.ny.gov. Contract issues are not within the purview of the NYS Medicaid Pharmacy office.

 DSRIP

  • Delivery System Reform Incentive Payment (DSRIP) Program:
    On April 14, 2014 Governor Andrew M. Cuomo announced that New York has finalized terms and conditions with the federal government for a groundbreaking waiver that will allow the state to reinvest $8 billion in federal savings generated by Medicaid Redesign Team (MRT) reforms.

    PSSNY, 210 Washington Avenue Extension, Albany, NY 12203 * 800-632-8822 * staff@pssny.org