COVID-19 Guidance for Medicaid Providers

The following guidance has been issued in response to the current novel coronavirus (COVID–19) outbreak.

The health and safety of healthcare workers and our ability to provide and support patient care remain our priorities. Recently, community–wide transmission of COVID–19 has occurred in the United States (US) including New York State, and the number of both Persons Under Investigation (PUIs) and confirmed cases are increasing in NYS. The situation with COVID–19 infections identified in the United States continues to evolve and is very rapidly changing. It is important for all agencies to keep apprised of current guidance by regularly visiting the Centers for Disease Control and Prevention (CDC) and NYSDOH websites, as well as the NYSDOH Health Commerce System (HCS), for the most up–to–date information for healthcare providers.

COVID News and Updates
  • Medicaid 1135 Waiver Request – (PDF) – 3.23.2020
Guidance Materials

The following guidance documents are effective immediately and shall remain in effect for the remainder of the disaster emergency declared by Executive Order No. 202, or until the issuance of subsequent guidance by the NYSDOH prior to the expiration of such state disaster emergency declaration.

  • Guidance for Infection Control in NYS DOH Supportive Housing Programs in Response to COVID–19 (PDF) – 3.27.2020
  • Guidance on Emergency Response to COVID–19 – (Web)(PDF) – 3.5.2020
  • Guidance for Medicaid Pharmacies Regarding the Declared Disaster Emergency in the State of New York over COVID–19 – (Web)(PDF)Updated 3.25.2020
  • Guidance for Transportation Managers and Brokers – (Web)(PDF) – 3.21.2020
  • Guidance for Facilitated Enrollment Agencies for the Aged, Blind and Disabled. – (Web)(PDF) – 3.21.2020
  • Medicaid Update Special Edition: Comprehensive Telehealth Guidance – (Web)(PDF) Updated 3.23.2020
  • Guidance for Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) 1915 (c) Medicaid Waiver Providers in Response to COVID–19 – (Web)(PDF) – 3.20.2020
  • Guidance for Designated Children and Family Treatment and Support Services´ Providers – (Web)(PDF) – 3.19.2020
  • Guidance for the Authorization of Community–Based, Long–Term Services and Supports Covered by Medicaid in response to COVID–19 – (Web)(PDF) – 3.18.2020
  • Guidance issued by Centers for Medicare & Medicaid Services (CMS) to all Programs of All–Inclusive Care for the Elderly (PACE) Organizations (POs) in response to COVID–19 (PDF) – 3.17.2020
  • Immediate Temporary Suspension of Statewide Adult Day Health Care Program Services as a Response to COVID–19 – (PDF) – 3.17.2020
  • Guidance for Certified Home Health Agencies, Long Term Home Health Care Programs, Hospices, and Licensed Home Care Services Agencies Related to COVID–19 – (Web)(PDF) – 3.14.2020
  • Guidance for Home and Community–Based Services (HCBS) Providers Serving Children/Youth Under the 1915(c) Children´s Waiver Related to COVID–19 – (Web)(PDF) – 3.14.2020
  • Guidance for Health Homes Serving Adults, Health Homes Serving Children/Youth, and Care Coordination Organization/Health Homes (CCO/HH) Related to COVID–19 – (Web)(PDF) – 3.14.2020
  • Health Advisory: COVID–19 Cases in Nursing Homes and Adult Care Facilities – (PDF) – 3.13.2020
  • Medicaid Update Special Edition: New York State Medicaid Coverage and Reimbursement Policy for Services Related to COVID–19 – (PDF)(Redline PDF)– Issued 3.10.2020, Updated 3.27.2020
  • Webinar for NYS DOH Health Care Providers: Update on COVID–19 for NYS Healthcare Providers – 3.5.2020