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 Medicaid Utilization Threshold Program 2015-2024

Medicaid Toa 2015-2024 Form

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Video instructions and help with filling out and completing Medicaid Utilization Threshold Program Form

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Instructions and help about threshold override application

Hello and welcome to the money computer-based training series for New York State Medicaid providers this video is part of our new provider new Miller series of tutorials the purpose of this session is to familiarize providers with the utilization threshold program the utilization threshold program contains costs while providing medically necessary services it places beneficiary specific limits on the number of services a Medicaid member may receive in a benefit year a benefit year being the 12-month period which begins the month a member becomes medicaid eligible to avoid disruption in medical care a nearing limits letter is sent to the member utilization threshold services include certain physician and clinic visits laboratory procedures pharmacy mental hEvalth clinic visits and dental clinic visits utilization threshold status is determined through MEB's the Medicaid eligibility verification system access methods include the audio response unit or ARU which is the touch-tone telephon

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