PROVIDER RESOURCES

East Harlem Asthma Center of Excellence (EHACE)

Use this form to refer patients to receive free services from EHACE to help control their asthma and improve their overall health. Use page 2 of the form for Spanish-speaking patients.

Complete this form to request an Asthma Education Training from EHACE.

• Treating Asthma in School – A flyer for parents and caregivers with tips on how to utilize an asthma controller to help manage asthma at school.
• Childhood Asthma and Environmental Triggers – A fact sheet for patients, parents, and caregivers that outlines indoor and outdoor asthma triggers and how to pest proof a home against pests and other triggers.
• Asthma and Tenants Rights – A flyer explaining tenants rights, how to minimize asthma triggers in the home, and what steps to take if the property is not being managed to properly reduce asthma triggers.

Cardiac Rehabilitation improves overall health and can lower a patient’s risk of another heart attack or cardiac episode. NYC REACH is part of the Cardiac Rehabilitation Collaborative and we are excited to offer the following resources from other participating organizations. Resources at the bottom of this section should be used to promote cardiac rehab to eligible patients.

• CR is Underused Infographic – learn about cardiac rehab enrollment, engagement, and underutilization in Medicare patients. From the CDC
• How Patients Can Benefit from Cardiac Rehab – a tool for facilitating conversations with patients who are resistant to rehabilitation. From the American Heart Association
• Benefits and Referrals – learn the patient benefits, cost-saving, and sustainability of referring patients to cardiac rehab. From the CDC
• CDC Million Hearts Tool Kit Presentation – download and review a presentation on actionable steps providers and health systems can take to promote and increase the use of cardiac rehab from the CDC program, Million Hearts
• CDC Million Hearts – Cardiac Rehab – CDC website on cardiac rehab
• AHA – Cardiac Rehab – American Heart Association website on cardiac rehab

Diabetes

• Type 1 Diabetes Toolkit Flyer – flyer with QR code to order free Type 1 Diabetes toolkit

Cardiac Rehabilitation

• What is CR – flyer to teach patients about cardiac rehab and its benefits. From the American College of Cardiology 
• What is CR Infographic – flyer to teach patients about cardiac rehab and its benefits. From the American Association of Cardiovascular and Pulmonary Rehabilitation
• Cardiac Rehab Finder – directory of on-site cardiac rehab facilities

EmblemHealth Resources

• Claims Status and Timely Filing

CPT Category II Reimbursements

The following payers offer CPT Category II Reimbursements. These reimbursements can be used to cover unpaid claims from the Change Healthcare cyberattack.

• Emblem Health
• Amerigroup
• Empire – Blue Cross Blue Shield

New York State (NYS) will transition their current Medicaid pharmacy benefit to NY Medicaid Pharmacy Program (NYRx) beginning April 1, 2023. The new program will provide all Medicaid Managed Care with their prescriptions through NYRx allowing NYS to pay pharmacies directly. Review highlights and resources for the transition below and stay tuned for more updates.

• The transition will affect all Medicaid members. They will get access to a comprehensive list of products
• Download complete lists of reimbursable drugs
• Providers must be enrolled in Fee-For-Service to continue serving Medicaid Managed Care members whose pharmacy benefits are transitioning effective April 1, 2023

• • Enrollment instructions and maintenance forms are available on the eMedNY Provider Enrollment website
  • To verify that a provider is enrolled in FFS, visit the eMedNY Provider website and search by NPI, license number, or provider name
• NYS Department of Health will complete outreach and education about the NYRx preferred drug program and clinical criteria
• There will be a 90-day transition period between 4/1/23-6/30/23. During this time, members can get a one-time temporary fill of drugs that would normally require prior authorization under the NYRx Preferred Drug Program
• The Initial Special Edition Medicaid Update will be published in November and the second edition will be published in February.
• A Categorized FAQs can be accessed here
• Review slides from the August, September, and October Stakeholders Meetings

The NYC Health Department’s Office of Health Insurance Services (OHIS) launched a new public awareness campaign encouraging New Yorkers to keep themselves and their family healthy by signing up for low- to no-cost health insurance through the department’s free health insurance enrollment services. Through the campaign, the department seeks to expand health insurance coverage among underserved communities, making affordable health services more accessible to those who need them most. In total, over 5 million people in New York City are currently insured through low- or no-cost health insurance plans. Many of these New Yorkers may be eligible to renew or assess their options for health insurance in the near future. Campaign ads will run through the end of June in 13 languages on social media, in newspapers, and on LinkNYC kiosks. View the campaign flyer here.

OHIS provides free enrollment assistance through certified counselors to support individuals and families in enrolling in low- or no-cost health insurance through the New York State Health Marketplace. Enrollment counselors offer guidance on health insurance and care options, assist with choosing a health plan and primary care provider, and help with renewing health insurance. Additionally, enrollment counselors can help with applications for other benefits, including SNAP. Services are available in multiple languages and accessible to everyone, regardless of immigration status.

The campaign supports our mission to make healthcare affordable and accessible for every New Yorker by connecting underserved residents to low- or no-cost health insurance options and essential health care services, including primary, specialty, and mental health care, at a critical time as federal policy and funding changes continue to threaten coverage access and affordability for many New Yorkers.

We appreciate your support in expanding our outreach and engagement to ensure that all New Yorkers, especially those from underserved communities, are informed about affordable health insurance options and have access to enrollment support.

How you can inform your community members:  

1. Encourage community members to visit nyc.gov/healthcoverage or call 347-665-0214 for more information or to connect with an enrollment counselor.
2. Display our toolkit educational materials, which include updated flyers and posters, in your office. Material can be found here: Health Insurance Action Toolkit.
3. Stay up to date on current news and updates from the NYC Health Department through media such as @nychealthy on X and the official Health Department Facebook page.

For assistance finding a low-cost dental provider, or acquiring dental insurance, patients can visit the NYC DOHMH HealthMaps or call 311 for more information.

Primary care providers play a pivotal role in establishing children’s oral healthcare. Use these resources to stay informed on the importance of pediatric oral health in your practice:

• NYC Health Children’s Oral Health
• CDC Oral Health Tips for Children
• National Institute of Dental and Craniofacial Research
• Maintaining and Improving the Oral Health of Young Children | Pediatrics | American Academy of Pediatrics

To connect with the Oral Health Program contact: NYCDOHMHDental@health.nyc.gov

The University of CA-San Francisco (UCSF) recently launched the Reproductive Health Hotline (ReproHH): a free, confidential phone service (1-844-737-7644) offering evidence-based clinical information for healthcare providers across the US who have questions related to sexual and reproductive health. 

The hotline is staffed by UCSF clinicians specializing in sexual and reproductive health. They will provide on-demand clinical information to all U.S.-based healthcare providers, regardless of experience level. 

Review this factsheet about the hotline and learn key information from their website.   

Use this order form to receive free resources to promote the Abortion Access Hub. Resources may include flyers, posters, buttons, and more. he Abortion Access Hub.

The New York City Abortion Access Hub provides confidential help finding an abortion provider, scheduling an appointment, getting financial assistance, and finding transportation and lodging. This help is available regardless of immigration status. You do not need to live in New York City to contact the Abortion Access Hub or receive a referral.

• Phone: 1-877-NYC-AHUB (1-877-692-2482)
• Live Chat
• Hours: Monday through Saturday, 8 a.m. to 8 p.m.

The Reproductive Health Access Project (RHAP) is bringing back the monthly e-newsletter series, Insights. The newsletter offers primary care clinicians and other health care professionals evidence-based education on abortion and early pregnancy loss (miscarriage, EPL) care. Insights will share practice guidelines, clinical tools, and resources that reinforce and support evidence-based, person-centered abortion and EPL care and counseling, including post-abortion and self-managed abortion. RHAP recognizes that abortion counseling and care may not be possible in all states and settings around the country. The Insights newsletter may be a helpful resource for providers and the communities you care for. Insights will be published on the 4th Tuesday of every month. Sign up now to receive the next monthly edition.