Change Healthcare – Timely Filing Extended for Medicaid

The Change Healthcare cybersecurity incident on February 21, 2024, disrupted many parts of the revenue cycle. CHCANYS met with DOH last month, and they initially agreed to grant timely filing waivers to certain health centers experiencing ongoing issues. However, due to CHCANYS' advocacy, DOH is now issuing a blanket delay reason code for all health centers for all claims disrupted by the Change Healthcare cyber incident through August 30, 2024.

Important Information:

  • Extended Filing Deadline: Claims affected by the cybersecurity incident can now be submitted using Delay Reason Code 15 (Natural Disaster) until August 30, 2024.
  • Documentation Requirements: No additional documentation is required for using Delay Reason 15. However, providers should maintain records supporting that their claims were affected by the incident.
  • Eligibility Criteria: Only claims delayed due to the cybersecurity incident are eligible for Delay Reason 15.

For general claims submission assistance, please contact the eMedNY Call Center at 1-800-343-9000. For specific claims pended for review, contact the Bureau of Medical Review, Pended Claims Unit at 1-800-342-3005 (option 3).

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