New York State Department of Health policy updates
Track new and updated New York State Department of Health policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Update Regarding Incontinence Products (Diapers/Liners/Underpads) Quantity Allowance, Coverage Criteria/Guidelines, and System Edits | New York State Department Of Health | Clinical | Durable Medical Equipment (DME) | Modified | Jul 1, 2026 |
| Out-of-State Skilled Nursing Facilities Policy Guidelines | New York State Department Of Health | Administrative | — | Modified | Apr 1, 2026 |
| Update to Reimbursement for Wheelchair Evaluations | New York State Department Of Health | Reimbursement | — | Modified | Jan 1, 2026 |
| Edit 02304 - Zero-Fill for Private Duty Nursing (PDN) Claims | New York State Department Of Health | Administrative | — | Modified | — |
| Limited Licensed Home Care Service Agency Manual Policy Guidelines | New York State Department Of Health | Administrative | — | Modified | — |
| New York State Medicaid Wearable Automatic External Defibrillator Guidelines | New York State Department Of Health | Clinical | Durable Medical Equipment (DME) | Modified | — |
| Hospice Program Policy Guidelines | New York State Department Of Health | Clinical | Home Health & Hospice | Modified | — |
| Rehabilitation Services Policy Guidelines | New York State Department Of Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | — |
| Clinical Psychology Manual Policy Guidelines | New York State Department Of Health | Clinical | Psychiatry/Behavioral Health | Modified | — |
| HCBS TBI Waiver Manual, Policy Guidelines | New York State Department Of Health | Other | — | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.