November 5, 2012

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Posted November 2012

Here is important information from the Office of the Medical Director AIDS Institute:

As we all recover from Sandy, the information below may be useful for persons living with HIV/AIDS. Please feel free to share with others.

ADAP UPDATE: Beginning, Monday, October 29, ADAP refill criteria has been relaxed to enable consumers to get medications that were lost, damaged or otherwise unavailable. Providers and consumers may call ADAP at 1-800-542-2437 for more information. ADAP is fully staffed in Albany, and staff will do everything they can to make sure consumers get the medications they need.

MEDICAID UPDATE: Because of Hurricane Sandy, Fee for Service Medicaid is implementing the following processes until the State of Emergency has ended. The State of Emergency will be determined by the Local District and the State.

During the State of Emergency, Fee for Service Medicaid will relax prior authorization requirements for the provision of urgent services.
Providers will not be required to request authorization to treat enrolled beneficiaries for the provision of urgent services and will be reimbursed accordingly.

In the event that telecommunication failures prevent access to the Medicaid Eligibility Verification System, the Medicaid ID card will suffice as eligibility verification. If access to the eMedNY system prevents real time claim adjudication, pharmacies should dispense emergency supplies as necessary.

Questions should be referred to the CSC Call Center at 1-800-343-9000.