Starting March 1, 2024, Prime Health Choice, LLC will no longer cover non-emergency transportation as part of your Plan benefits. To arrange non-emergency medical transportation on or after March 1, 2024, you or your provider must contact MAS at https://www.medanswering.com or call 844-666-6270 (Downstate) or 866-932-7740 (Upstate). If possible, you or your medical provider should contact MAS at least three days before your medical appointment and provide the details of your appointment (date, time, address, and name of provider) and your Medicaid identification number.
Effective January 31, 2024, dental crowns and root canals will be included in the Managed Long Term Care plans’ benefit package. In addition, replacement dentures and implants will only need a recommendation from a dentist to determine medical necessity.
- 2023 Dental Benefit Criteria Guidance
- Justification of Need for Replacement Prosthesis Form
- Evaluation of the Dental Implant Patient
Medicaid Eligibility Renewals: Resumption of Regular Rules
Per guidance from the Centers for Medicare & Medicaid Services (CMS), the New York State Department of Health (NYS-DOH) will restart the process of Medicaid renewals on April 1, 2023.
https://info.nystateofhealth.ny.gov/COVID-19-Changes
NEW YORK STATE COVID-19 EMOTIONAL SUPPORT HELPLINE 1-844-863-9314 (8 AM – 10 PM, 7 days a week)
In anticipation of January 1, 2021, start date, Prime Health Choice will remove service limits on physical therapy (PT), occupational therapy (OT), and speech therapy (ST). Instead Prime Health Choice will cover medically necessary PT, OT, and ST visits that are ordered by a doctor or other licensed professionals.