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January 2024

SelectHealth from VNS Health Coverage of Drugs Provided as Part of a Medical Visit/Incidental to Medical Visit

For drugs provided as part of a medical visit or incidental to a medical visit, Providers may bill covered drugs via the applicable J-Code and will be reimbursed based on the applicable drug fee schedule.
January 2024

Providing Services for Children/Youth in Foster Care

As a SelectHealth from VNS Health network provider, you may find yourself in a position to provide trauma-informed care to Medicaid Managed Care (MMC) enrolled children/youth in direct placement foster care and in the care of Voluntary Foster Care Agencies (VFCAs).
January 2024

Zynteglo (betibeglogene autotemcel): Coverage Information for SelectHealth Members

The SelectHealth health plan can assist providers and members in obtaining approval for the medication through a few simple steps.
January 2024

Vaccine Billing Guidance & Contact Request

Billing guidelines can be found at this location: https://www.health.ny.gov/health_care/medicaid/program/phar_immun_fact.htm
January 2024

OnTrackNY Behavioral Health Treatment Program

OnTrackNY is an innovative treatment program for adolescents and young adults who have had unusual thoughts and behaviors or who have started hearing or seeing things that others don’t.
January 2024

Hospice Benefit Update

VNS Health Total (HMO D-SNP) is pleased to announce its designation as a CMS Innovation Center Model participant for the Hospice Benefit Program. Learn more on our Hospice Benefit FAQs page.
January 2024

Requests for Cabenuva

Cabenuva is on the pharmacy formulary for our Medicare plans. If you would like to initiate a plan member on Cabenuva, please send a prescription to a specialty pharmacy.