NY Medicaid Eligibility Check

 Under the Claims menu item you will see an option labeled Eligibility Check.image.png

Here you can select consumers to check for Medicaid eligibility for dates of service which begin at the start of the current month through the end of the current month.

Set up Requirements:
  • In facility setup, enter your ETIN that is registered with eMedNY
  • In the Client profile, Insurance tab,  make sure they are assigned a Payer
  • In the Client profile, Advanced tab, the consumer’s medicaid id must be in External Code 2 - this may be labeled Medicaid id or something else for you, the labels are set in Agency Details
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