Ensure our members are equipped to renew their Medicaid benefits
Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can get assistance with their renewal via our retention call center at 844-885-1004 (TTY 711), through the
NY State of Health website
or calling 855-355-5777.
If you have questions about eligibility, benefits, authorizations, claims status, and more, log in to
Availity Essentials*
and select Chat with Payer. For additional support, please use the following resources or
contact us
if more clarification is needed.
Attention providers!
At the end of 2022, Office of the Medicaid Inspector General (OMIG) issued final regulations that repeal and add a new New York Codes, Rules, and Regulations (NYCRR) amendment to implement changes to:
- Provider compliance programs
- Medicaid Managed Care plan fraud, waste and abuse (FWA) prevention programs under the Medicaid program
- The obligation to report, return and explain Medicaid overpayments through OMIG’s Self-Disclosure Program
This amendment took effect on December 28, 2022, with enforcement of the requirements beginning March 28, 2023.
To participate in and receive payment from the Medicaid program, providers must:
- Certify to maintaining an effective compliance program that meets the requirements issued by OMIG as part of their annual Certification Statement for Provider Billing Medicaid (ETIN) form
- Submit a copy of their Certification Statement for Provider Billing Medicaid (ETIN) form to each Managed Care Plan (MMCO) for which they are a participating provider with the MMCO and each year after
A copy of your certification/ETIN form may be submitted to our health plan, via e-mail to WNY_PR_Compliance_Program_Certification@amerigroup.com.
For more detailed information, please visit the Compliance page of the New York State Office of the Medicaid Inspector General