NY State Medicaid: Attention: There Are Changes to Pharmacies, Durable Medical Equipment, Prosthetics, Orthotics and Supply Providers, and Prescribers That Are Not Enrolled in Medicaid Fee-for-Service

Beginning on April 1, 2021, per the State Fiscal Year (SFY) 2020-21 enacted budget, the pharmacy benefit for New York State (NYS) Medicaid Managed Care [Mainstream, Health and Recovery Plan (HARP) and Human Immunodeficiency Virus (HIV)-Special Needs Plan (SNP)] members will be transitioned to the NYS Medicaid fee-for-service (FFS) Pharmacy Program. DMEPOS providers must be enrolled in the FFS program as billing providers in order to continue to serve Medicaid Managed Care members. Information regarding DMEPOS that are subject to the carve-out can be found at: