Reminder — New York State Medicaid DME

This article should serve as a reminder that effective since April 1, 2023, Medicaid members enrolled in mainstream Medicaid Managed Care (MMC) plan, Health and Recovery Plan, and HIV-Special Needs Plans (SNPs) have transitioned their pharmacy benefits from their MMC plan to NYRx, the Medicaid Pharmacy Program. Information regarding the pharmacy benefit transition is in the October 2022 special edition Medicaid update found here.

Questions and additional information:

• DME providers may review the Durable Medical Equipment, Prosthetic, Orthotic, and Supply Manual Policy Guidelines found here.