Update to Medicaid Update: Medicaid Reimbursement of Medicare Part C Copayment and Coinsurance Liabilities

Deanna Stephenson

An amendment has been made to New York State Social Services Law. It was previously reported that Medicaid will reimburse at the rate of 85% of the Medicare Part C copayment or coinsurance amount, retro back to April 1st 2016. The Department amended the law for dually eligible beneficiaries correcting the retroactivity date to July 1st 2016. The eMedNY System is being updated to reflect the changes and The Department states that paid claims will be adjusted automatically to reflect the new law.

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NYSHFA Contact:
Deanna Stephenson
518-462-4800, xt.16