14 CRR-NY 841.8NY-CRR
14 CRR-NY 841.8
14 CRR-NY 841.8
841.8 Billing.
(a) The eligible provider shall levy no additional charges to patients for services paid for by the Medicaid Program.
(b) Claims for payment by the Medicaid Program shall be submitted at rates/fees established and/or calculated by the office and approved by the Director of the Budget. Such billings shall be net of any individual or third-party liability.
(c) Claims shall be submitted only for services which were actually furnished to eligible persons and for which documentation of medical necessity is available at the time the services were furnished.
(d) Claims shall be submitted on officially authorized claim forms or formats and in accordance with the Department of Health standards and procedures for claims submission.
(e) All information provided in relation to any claim for payment shall be true, accurate and complete.
14 CRR-NY 841.8
Current through May 31, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.