Medicaid Update - May 2025

The Situation Report | July 7, 2025

The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the May 2025 Medicaid Update. Please find the interactive issue as a PDF (Portable Document Format) file available to be downloaded here. A print-ready version is also available on the Medicaid Update web page. Topics covered in this issue of the Medicaid Update include the following:

Policy and Billing

• Timely Postpartum Visit Incentive Coding (Cover)
• Attention: Federally Qualified Health Centers and Clinics Receiving a Prospective Payment System Rate or Threshold Payment for Dental Encounters
• Remote Patient Monitoring Expansion: New Reimbursement in an Outpatient Setting
• Reminder: Billing for Hospitals Reporting Newborn Claim Information
• New York State Medicaid and Child Health Plus Patient-Centered Medical Home Program Evolution

All Providers

• New York State Medicaid Evidence Based Benefit Review Advisory Committee Meeting on July 24, 2025
• New York State Department of Health "Social Care Networks: Opportunities for Provider Participation and Impact" Webinar on July 14, 2025