Effective April 1, 2021, Medicaid expanded the list of practitioners who can be reimbursed for providing Asthma and Diabetes Self-Management Training, and Smoking Cessation Counseling services to EmblemHealth Medicaid and Health and Recovery Plan (HARP) members.
EmblemHealth reimbursement to these new provider types includes:
- Asthma Self-Management Training – licensed clinical social workers, licensed master social workers, physical therapists, and occupational therapists.
- Diabetes Self-Management Training – clinical psychologists, optometrists, occupational therapists, and podiatrists.
- Smoking Cessation Counseling – registered nurses, clinical psychologists, licensed clinical social workers, licensed master social workers, and licensed practical nurses.
For details on professional certification, place of service, and billing requirements, see the New York State Medicaid Update.