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NEW YORK STATE MEDICAID PROGRAM

NEW york STATE MEDICAID PROGRAM MANAGED CARE REFERENCE GUIDE: ENROLLEE ROSTERS Managed Care Reference Guide: Enrollee Rosters Version 2005 1 (04/01/05) Page 1 of 19 TABLE OF CONTENTS Section I Purpose Statement .. 2 Section II Enrollee 3 Monthly Managed Care Roster File Layout and Field Descriptions .. 4 Monthly Disenrollment Report .. 11 Monthly Error Report .. 13 MEDICAID Eligibility Verification system (MEVS) .. 16 Section III 17 Appendix A County / District 17 Appendix B Insurance Coverage 18 Managed Care Reference Guide: Enrollee Rosters Version 2005 1 (04/01/05) Page 2 of 19 Section I Purpose Statement The purpose of this document is to assist participating managed care organizations in understanding and complying with the New york STATE MEDICAID (NYS- MEDICAID ) requirements.

Rosters are available on the HCS (Health Commerce System) for the Plan according to the SDOH Medicaid Monthly Schedule which is produced in November for the year ahead. All plans are required to utilize an Internet Service Provider (ISP) to access the HCS for purposes of …

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