Behavioral HealthMedicaidSeptember 6, 2023

State communication: Important notification for all Article 29-I VFCA health facilities

Important notification for all Article 29-I VFCA health facilities medical nutrition therapy added to other health related services fee schedule

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

The New York Department of Health issued a new guidance on June 26th, 2023, adding Medical Nutrition Therapy (MNT) to the Article 29-I VFCA Health Facilities Other Limited Health Related Service Fee Schedule effective July 1st, 2022: 

  • Medical Nutrition Therapy (MNT) has been added to the Article 29-I VFCA Health Facilities (29- I) Other Limited Health Related Services (OLHRS) Fee Schedule effective July 1, 2022, per the approved Medicaid State Plan Amendment. 29-I MNT must be provided by a Registered Dietician (RD), Certified Nutritionist (CN), or a Certified Dietician-Nutritionist (CDN). 
  • Full details of allowable service components, along with provider qualifications and service eligibility criteria, will soon be found in the Article 29-I VFCA Billing Manual

29-I VFCA Health Facilities Billing for Medical Nutrition Therapy (MNT): 

  • Billing for 29-I Nutritional Services must follow the guidance outlined in the 29-I Health Facility Billing Manual. 
  • Service fees can be found in the 29-I Other Limited Health Related Services (OLHRS) Fee Schedule.
  • The revenue codes for Medical Nutrition Therapy are 0520 (Free Standing Clinic, General) and 0529 (Free Standing Clinic, Other).
  • Required billing codes for 29-I Nutritional Services are as follows: 

  • Empire BlueCross BlueShield HealthPlus will accept claims for MNT provided by 29-I Facilities for services provided on or after July 1, 2022, starting on September 18th, 2023.
  • Claims for 29-I MNT services rendered prior to July 1, 2022, are not eligible for payment.
  • Providers seeking to submit claims for 29-I MNT services provided outside the 90-day timely filing window must do so by October 31, 2023.

Empire BlueCross BlueShield HealthPlus is the trade name of HealthPlus HP, LLC, an independent licensee of the Blue Cross Blue Shield Association.

NYBCBS-CD-036361-23