New York State Medicaid (eMedNY)

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

NYRx — enteral nutrition prior authorization

Official page read
Phone866-211-1736Published hours

Not published in this record

Product, plan and location

medicaid
New York

Mailing address

Not researched for this route

Fee-for-service enteral formula/nutrition PA line listed in the NYRx Top Edit Resource.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

NYS DOH — fee-for-service prior approval and medical supply/procedure code limits (in-state)

Official page read
Phone800-342-3005Published hours

Not published in this record

Product, plan and location

medicaid
New York

Mailing address

Not researched for this route

NYS Department of Health line for FFS prior approval (dental, private duty nursing, DMEPOS, hearing aid, out-of-state SNF admissions), pended claims and medical supply/procedure code limits. Listen to prompts.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

NYS DOH — fee-for-service prior approval (out-of-state providers)

Official page read
Phone518-474-3575Published hours

Not published in this record

Product, plan and location

medicaid
New York

Mailing address

Not researched for this route

Out-of-state provider number for NYS DOH prior approval and pended claims, from the eMedNY Provider Quick Reference Guide (publication date December 2018; confirm currency).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

eMedNY — prior approval/prior authorization request forms mailing address (PO Box 4600)

Search or secondary source
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
New York

Mailing address
eMedNY P.O. Box 4600 Rensselaer, New York 12144-4600

Paper PA/prior approval forms (EMEDNY-3614, 3615, 2832, 1260, 3897, 4106)

Per the eMedNY mailing chart (box 4600, ZIP+4 extension 4600).

View source ↗ · Source checked 2026-10-25

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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