Return to EI Billing Home Screen

Early Intervention Fiscal Portal PCG Logo
LOGIN
  • Home
  • Information
    • For Counties
    • For Providers
  • Training
  • Contacts
  • Knowledge Base
  • FAQ
    • For Counties
    • For Providers
Welcome to the New York
Early Intervention Fiscal Portal
This site is designed for Early Intervention (EI) Service Providers to submit billing for early intervention services through the Department’s State Fiscal Agent (SFA). It is an access point for Municipalities, EI Service Coordinators and families to obtain information about the EI fiscal process.
Columbus Day Hours
The Customer Service Call Center will remain open with normal business hours from 7am - 7pm EST on Monday, October 9, 2023.

Login Here



Forgot Username | Forgot Password

Important Links




Customer Service Center

1(866) 315 3747

Weekly Provider Tips

View All Links
File Type Medicaid Submission Types
A helpful grid outlining when a corrected claim, void, resubmittal/adjustment are done is now available for reference. Please follow the link for additional details.

File Type Use of Delay Reason Codes and Medicaid Timely Filing
PCG has found that there has been an increase in incorrect use of Medicaid delay reason codes. It is the responsibility of the providers to utilize the appropriate delay reason codes. Delay reason codes are used on claims billed beyond Medicaid’s 90-day initial filing limit or when resubmitting claims with updated information within the 60-day resubmission window of claims denied or rejected. Please follow the link for additional details and guidance.

File Type Medicaid DRC 15 Denials
If your Medicaid claims were denied due to the expiration of the filing time limit (code 29), and you used delay reason code 15 (related to a natural disaster or state of emergency), the Department of Health (DOH) can review them manually. To learn more about why code 15 was valid for your claims, please contact the Bureau of Medical Review's Pended Claims Unit at 1-800-342-3005 (select option 3).

File Type Use of invalid or incorrect diagnosis codes
PCG has found that there has been an increase in ongoing rejections from Medicaid due to providers utilizing invalid or expired ICD-10 codes. Please follow the link for additional details and guidance.

File Type United Healthcare will no longer accept paper claim
Attention providers: United Healthcare will no longer accept paper claim reconsiderations or post-service appeal submissions starting February 1 2023. These will need to be submitted electronically. Your electronic submission options 1. UnitedHealthcare Provider Portal: Submit under Claims & Payments. Need help? See the Online Reconsiderations and Appeals interactive guide for a step-by-step guide on how to submit reconsiderations and appeals electronically. 2. Application Programming Interface (API): Consider submitting reconsiderations and appeals through API. Data can be distributed to your practice management system or any application you prefer. API requires technical programming between your organization and UnitedHealthcare, so advanced planning is required. See the full article, please follow the link.

System News

View All Links
Upcoming Change to EI Billing
As of May 8, 2023, EI Billing will transfer to a new hosting location, Amazon Web Services (AWS). EI Billing will have a planned system downtime scheduled on 5/5 – 5/8 to prepare for this transition. Please follow the link for more details.

Information on 1099 Tax Forms for 2022
In accordance with Federal Law, Providers who received payments for Early Intervention Services in the 2022 calendar year should expect to receive a number of 1099 forms. Providers will receive a 1099 from New York State Department of Health via the State Fiscal Agent (SFA) for amounts from the State Escrow account in 2022, a 1099 from Medicaid, and a 1099 from each insurance company. Please follow the link for details.

2023 Escrow Payment Calendar
Please click here to download the 2023 Escrow Payment Calendar

Updated list of the ICD-10 codes available in NYEIS as of January 18, 2023
The updated list of the ICD-10 codes that were made available in NYEIS as of January 18, 2023, is accessible via the above link. If providers determine that there is an ICD-10 code needed in NYEIS for billing purposes, a feature request form must be submitted and include both the code and description. The form is available on the Health Commerce System (HCS) in the “Feature Request – Data Change Request” folder within the NYEIS Documents group. Requests will be reviewed prior to being entered into NYEIS. Please allow up to 6 - 8 weeks from the date the Feature Request Form is received for the code to be available in NYEIS. If you need further information regarding NYEIS in general, please contact the NYEIS help desk at nyeis@cma.com or by calling (toll free) 1-(833)-395-7058, or 518-640-8390

Early Intervention Program ATB 1% Rate Increase for all EI Providers
The Bureau of Early Intervention (BEI) is implementing an ATB 1% rate increase on payments for Early Intervention (EI) services, including Service Coordination, Evaluations and General Services. The 1% rate increase will be reflected in both Medicaid and Escrow payments. The rate increase will be retroactive and apply to services rendered on or after 4/1/2022. For more information, please follow the link.
© 2023 - Public Consulting Group | 2.216.0.0