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Each provider of ambulette services must, during the month of January of each year, disclose to the Office of the Medicaid Inspector General (OMIG), in writing, the information concerning those vehicles currently owned or leased by the provider. The information to be disclosed must include at a minimum the name and address of the provider, each vehicle's license number and Department of Transportation identification number and a statement regarding whether the vehicle is owned or leased. A provider of ambulette services which fails to disclose this information will have its participation in the medical assistance program terminated.
The forms identifying the information to be disclosed and the return address will be included in the January 2007 Medicaid Update.
A response must be received by February 15, 2007.
Providers that fail to disclose this information will be subject to termination from the medical assistance program.
It is recommended that these forms be submitted via certified mail, return receipt and a copy of both your submission and the proof of mailing be kept for your files. Proof of mailing must be provided by the provider in the event of non-receipt by the Office of the Medicaid Inspector General.
Though significant progress is being made towards compliance, DOH feels more time is needed to work with the provider community in creating the necessary crosswalks and to complete the system modifications to ensure no disruption of payments.
There are also external factors influencing this decision, one of which is the inability to access the National Plan/Provider Enumeration System (NPPES) database to populate and validate our crosswalk.
As a result, DOH has implemented an NPI Registration System by which the DOH is requiring the provider community to register their NPI(s) with the corresponding MMIS Provider identification number(s) to create the crosswalk.
Unfortunately, as of December 31, 2006, only 6.03 % of New York's Medicaid providers have registered their NPI(s). To be ready for implementation, 100 percent registration is required before the mandated date.
If you have not registered your NPI, please visit: www.emedny.org. To obtain an NPI, please visit: www.cms.hhs.gov/NationalProvIdentStand.
The new NPI implementation target date is not known at this point. The DOH has asked Computer Sciences Corporation (CSC), NYS Medicaid's fiscal agent, to continuously update the project status in the "Known Issues" list.
The new implementation date will be communicated in a future Medicaid Update article.
DOH requires the MMIS Identification Numbers and/or License Numbers, when applicable, until the NPI compliant system is implemented.
If you utilize a vendor in submitting electronic transactions to New York Medicaid, you should make sure they are aware of this condition.
If you have questions regarding this article, please contact the eMedNY Call Center at: 1-800-343-9000.
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