MedicaidAdministrativeLow impact
Pharmacy Reminder: Coordination of Benefits Processing Instructions for New York State Medicaid
NY Medicaid·NY·Pharmacy
We identified it
May 10, 2026
Summary
New York State Medicaid has issued a reminder about coordination of benefits processing instructions for pharmacy claims. This appears to be guidance reinforcement rather than a new policy change, focusing on proper coordination when patients have multiple insurance coverages.
Action Required
Immediately: Pharmacy staff should review current coordination of benefits procedures for NY Medicaid members to ensure compliance with processing instructions. Contact NYRx at (518) 486-3209 or NYRx@health.ny.gov for specific coordination of benefits questions.