Diagnostic and Treatment Centers Electing to Contract for Procedures Subject to the Ancillary Policy

For additional information on the APG DTC Ancillary Policy:
http://www.health.ny.gov/health_care/medicaid/rates/policy/docs/dtc_ancillary_policy.pdf

Contracting for Date Removed from Contracting List
Clinic Provider Labs Radiology Phone Labs Radiology
The Brookdale Family Care Center-Linden X X 718-240-5219
The Brookdale Family Care Center -Flatbush X X 718-240-5219
The Brookdale Family Care Center -New Lots X X 718-240-5219
The Brookdale Family Care Center -Urban Strategies X X 718-240-5219
Planned Parenthood of the Southern Finger Lakes X X 607-796-0220 x 305
Greene County Family Planning X X 518-719-3580
Martin Luther King, Jr. Health Center, Inc. X X 718-466-6072
Medisys Family Care Ctr. (East NY) X X 718-206-6820
Medisys Family Care Ctr. (Hollis-Tudor) X X 718-206-6820
Medisys Family Care Ctr. (St. Albans) X X 718-206-6820
Oswego Opportunities Inc. X X 315-598-4715 x1231
Huntington Hospital Dolan Family Health Center X X 631-425-4182 2/1/2015
Onondaga County Department of Health X X 315-435-3685
Syracuse Model Neighborhood Facility (Family Planning) X X 315-435-3686
All Med & Rehabilitation X X 718-866-0154
Chautauqua County Health Department X X 716-753-4792 5/15/2013 5/15/2013

Note: Please contact specific facilities for additional information. Sign up for the APG Website Electronic Mailing List to receive a notice when this list is updated. There are specific situations outlined in the APG DTC Ancillary policy when clinic providers not listed above can bill Medicaid for ancillary services and then pay ancillary services providers directly. It is never appropriate for both an ancillary services provider and a clinic to bill for an ancillary service. List addition or deletion requests should be sent to dtcffsunit@health.ny.gov, and questions about the ancillary policy should be sent to apg@health.ny.gov.