NYS MEDICAID PROGRAM- ENTERAL FORMULA PRIOR …
Enteral nutritional formula codes: B4149- B4162 and B9998. Pharmacy Provider manual (Provider Communications section) for the enteral classification list. DME Provider manual (Procedure Codes section) for complete documentation requirements.
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New York State Medicaid Enrollment Form - …
www.emedny.orgEMEDNY-426401 (08/17) 1 New York State Medicaid . Enrollment Form . Thank you for your interest in enrolling with the New York State Medicaid Program.
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www.emedny.orgnew york state . medicaid program . rehabilitation services . procedure codes & fee schedule
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