Our providers know that everything from rules and regulations to best practices and cutting-edge innovations are always evolving across the healthcare landscape.
From timely reminders about combating antibiotic resistance to updates on Medicaid, Medicare, and more, our news service gives our providers the up-to-date information they need to deliver the best care possible.
Important & Urgent Notifications
February 27, 2026
New York State Medicaid Coverage of Tumor Treatment Field Therapy
February 26, 2026
Additional Enhanced Rates for Evidence Based Practices (EBPs) within Children and Family Treatment and Support Services (CFTSS)
February 25, 2026
MetroPlusHealth – Important Reminder: PCP Replacement for Provider Terminations
February 12, 2026
Medicaid Practitioner Administered Drugs Update: CGT
February 10, 2026
Long-Term Nursing Home Placement Notice Provider Memo
February 06, 2026
MetroPlusHealth is proud to announce our 2026 Provider Pay for Performance (P4P) program
February 04, 2026
Discontinuation of Children’s Home and Community Based Services (HCBS) Day Habilitation Service
January 27, 2026
Coverage of Mobile Crisis Benefit in Essential Plans
January 14, 2026
Healthcare Access Loan Repayment (HEALR) Program
27 Feb
New York State Medicaid Coverage of Tumor Treatment Field Therapy
TO: All Providers Effective 12/1/25, MetroPlusHealth will cover the provision of Tumor Treatment Field Therapy (TTFT) when billed under HCPCS…
26 Feb
Additional Enhanced Rates for Evidence Based Practices (EBPs) within Children and Family Treatment and Support Services (CFTSS)
TO: Children and Family Treatment Support Services (CFTSS) Provider Agencies (Retro) Effective January 1, 2025, the New York State (NYS)…
25 Feb
MetroPlusHealth – Important Reminder: PCP Replacement for Provider Terminations
Dear Valued Provider, We’d like to share a friendly reminder about the importance of notifying us at least 30 days…
12 Feb
Medicaid Practitioner Administered Drugs Update: CGT
TO: All Medicaid Providers Effective January 1, 2026, the New York State (NYS) Department of Health has applied to participate…
10 Feb
Long-Term Nursing Home Placement Notice Provider Memo
Dear Nursing Home Administrator: As a valued partner in delivering comprehensive, long-term care to MetroPlusHealth members identified as requiring Long-Term…
06 Feb
MetroPlusHealth is proud to announce our 2026 Provider Pay for Performance (P4P) program
This program rewards providers who meet specific goals for delivering quality and efficient care goals to MetroPlusHealth members enrolled in…
04 Feb
Discontinuation of Children’s Home and Community Based Services (HCBS) Day Habilitation Service
TO: HCBS Day Habilitation Providers Effective January 1, 2026, Children’s HCBS Day Habilitation will no longer be a covered service…
27 Jan
Coverage of Mobile Crisis Benefit in Essential Plans
Effective as of January 1st, 2026, MetroPlus Health Plan will cover mobile crisis services for Essential Plans to provide immediate…
14 Jan
Healthcare Access Loan Repayment (HEALR) Program
Valued MetroPlusHealth Provider, We would like to remind you that The New York State Medicaid Program is committed to addressing…
07 Jan
Expanding Coverage for Supplemental Breast Cancer Screenings Effective 1/1/26
Dear MetroPlusHealth Provider, This notice serves as a reminder to participating providers of New York State requirements for breast cancer…
07 Jan
Medicaid Update – Updated Implementation Date: Ambulatory Patient Group Weight Adjustment for Phosphate Binders
TO: All Primary Care Providers The previously announced update to the Medicaid policy to include phosphate binder costs in the…
03 Dec
Medicaid Update – Medicaid Coverage of Point of Care Syphilis Testing
TO: All Primary Care Providers Effective immediately, MetroPlusHealth will cover Point of Care (POC) Syphilis Testing to ensure equitable access and screening to help…
03 Dec
Medicaid Update – New York State Medicaid Coverage of Therapeutic Transcranial Magnetic Stimulation
TO: Behavioral Health Providers Effective November 1, 2025, Therapeutic Transcranial Magnetic Stimulation (TMS) is a covered benefit under Current Procedural Terminology…
14 Nov
Announcing our new Utilization Management (UM) Software System
TO: All MetroPlusHealth Providers MetroPlusHealth is excited to announce we are transitioning to a new internal Utilization Management (UM) software…
14 Nov
Medicaid Drug Rebate Program – Billing Guidance for Practitioner-Administered Drugs
TO: All Providers Dear Valued MetroPlusHealth Provider, MetroPlusHealth is committed to keeping our provider network informed of important Department of…
12 Nov
NYS Medicaid Vision Care Codes Manual – Reminder on Billing for Contact Lens Fitting Services
TO: All Vision Care Providers This is a reminder of the New York State Medicaid regulations for vision care billing…
09 Nov
RE: Updated Guidance on Home and Community Based Services (HCBS) Compliance (Action Required)
TO: All Primary Care Providers Dear Valued MetroPlusHealth Provider, The New York State Department of Health (DOH) has issued updated…
20 Oct
Notification of Billing Updates: Dual Diagnosis (DD) – Inpatient Services
IMPACTED PLANS: Medicaid, HIV SNP, HARP and MAP Dear MetroPlusHealth Provider, This memo is to provide notification of billing updates…
24 Sep
New Rate (Rate Code) and Other Billing Codes Combination for Health Home Plus and Assisted Outpatient Treatment (AOT)
IMPACTED PLANS: Medicaid, HIV SNP, and HARP DOH has released guidelines for providers to use the new Medicaid rate code…
24 Sep
RE: Person-Centered Planning Training
IMPACTED PLANS: MAP and MLTC Dear Valued MetroPlusHealth Provider, The New York State Department of Health is now offering training…
23 Sep
RE: Updated Rates for Health Home Plus 2.84% COLA, Retro-effective April 1, 2024
TO: Health Homes Providers DOH has released guidance to notify that (retro) effective April 1, 2024, the Medicaid rates for…
17 Sep
RE: PROS Billing & Claiming Manual Update
IMPACTED PLANS: MEDICAID, HIV SNP, HARP, and MAP OMH has released an updated PROS Billing and Claiming Manual to clarify…
17 Sep
Project TEACH Training Series
MetroPlusHealth is pleased to invite you to participate in the upcoming Project TEACH training series, focused on Child and Adolescent…
15 Sep
Availity Eligibility and Claim Inquiry Update
MetroPlusHealth is continuing to offer additional resources to meet the needs of our provider network. We are expanding our partnership…
25 Aug
Re: Doula Services
IMPACTED PLANS: Medicaid, HIV SNP, HARP and EP Dear MetroPlusHealth Provider, Effective April 1, 2025, MetroPlusHealth will cover doula services…
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last updated: June 3, 2024
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