ATTENTION ALL OMH-LICENSED ARTICLE 31 MENTAL HEALTH CLINICS CLAIMS SUBMISSION REMINDER REGARDING ATTENDING AND REFERRING PROVIDERS July 24, 2020

This purpose of this memo is to clarify and restate OMH policies regarding the allowable use of the “attending” and “referring” provider fields on Medicaid claims for OMH licensed clinic treatment programs, including the permissible use of the billing agency NPI and unlicensed provider ID (02249154) on those claims. This guidance is consistent with recent audit findings by both the Centers for Medicare & Medicaid Services (CMS) and the NYS Office of the State Comptroller (OSC).