Close

Provider Services

Provider Services Representatives are available to assist providers with billing and claims payment issues every business day, 9:00-5:00 pm, at 1-800-556-0674.

Click here for Prior Authorization Criteria and Clinical Guidelines.

Click here for Amida Care's Formulary.

Click here for the Provider Quick Reference Guide.

Click here for Flu and Health Education and here for Clinical Updates.

Medical Journals Now Available

to Amida Care Providers


For more info click here


UPDATE: Bundling Pharmacy into Medicaid Managed Care


Effective October 1, 2011, members enrolled in Amida Care’s Medicaid Managed Care HIV Special Needs Plan will receive pharmacy benets through Amida Care and no longer through the Medicaid Fee-for-Service program. Members will be issued new identication cards prior to October 1, 2011 and will be instructed to present their new card at the pharmacy, rather than their Medicaid card.  For the complete update click here.

CDC Infection Prevention Guide for Outpatient Settings


Please review the newest resources available released by the CDC to promote infection prevention control in outpatient settings by viewing the informational message in our Clinical Updates section.


Changes to Ambulette, Taxi and Livery Transportation
Procedure Codes


Please be advised that effective April 27, 2011 New York State Medicaid will implement changes in HCPCS Transportation Procedure Codes. All transportation claims billed to Amida Care will require adherence to the new codes and modifiers being implemented by New York State Medicaid in order to be processed:

  • Claims with date of service on or after April 27, 2011 that list the old transportation procedure codes beginning with the prefix “NY” will be denied.
  • Claims submitted on or after April 27, 2011 for dates of service up to and including April 26, 2011 should continue to use the prior authorized “NY” codes.
  • Transportation providers should be making any changes necessary to billing systems, in order to submit claims correctly for dates of service on or after April 27, 2011.
  • For dates of service between March 27 and April 27, 2011; the “NY” codes will continue to be issued.

To obtain a listing of the new codes and modifiers you can reference the January 2011 Volume 27, Number 1 Medicaid Update

If you have additional questions regarding the implementation of these new changes, please contact Provider Services at 1-800-556-0674.

Amida Care is an NYS sponsored HIV Special Needs Plan (SNP) that provides health care services for people on Medicaid living with HIV and their children. Amida Care services Manhattan, Brooklyn, the Bronx and Staten Island. Starting September 1, 2010, if you live in New York City, choosing a Special Needs Plan or a regular Medicaid managed care plan is mandatory for PLWHA. To learn more about HIV SNPs, call NY Medicaid CHOICE helpline at 1-800-505-5678. (TTY 1-888-329-1541)

© Amida Care, 2011 Amida Care, Inc., 800-556-0689
TTY 800-662-1220  |  info@amidacareny.org 
Privacy Policy  |  DONATE