Notices, News, and Updates
All News and Updates
October 2026
Action Required: Prepare for the January 1, 2027 Claims System Transition
VNS Health will transition to a new claims system effective January 1, 2027. This upgrade will help streamline claims administration and create a more consistent experience for providers. To help ensure a smooth transition, please review the information below and complete any required actions. What You Need to Do 2a. New Mailing Addresses for Paper […]
September 2026
[Webinar] Medicare Risk Adjustment Coding Best Practices
Wednesday, October 14th 12 p.m. to 1 p.m. Strengthen your documentation practices with actionable tips that align ICD coding with evolving CMS requirements and quality reporting standards. During this one-hour webinar, you’ll gain practical documentation and coding strategies for cancer-related diagnoses. Topics include: A Hierarchical Condition Category (HCC) Coding Clinic focused on common cancer diagnoses, […]
August 2026
New State Requirements for Incontinence Supplies Effective October 1
Effective October 1, 2026, the New York State Department of Health (DOH) has revised Medicaid requirements for incontinence supplies. These state-mandated changes simplify quantity limits for products such as diapers, liners, and underpads and introduce new authorization, documentation, and claims payment requirements.
August 2026
Recipient Restriction Program (RRP)
The Recipient Restriction Program (RRP) is a New York State Medicaid program designed to coordinate medical services for Medicaid members that have been identified as exhibiting abusive or inappropriate behavior. The program helps reduce unnecessary costs to the Medicaid program, avoid misuse of services and supports appropriate utilization of healthcare resources.
July 2026
Early Identification of PAD Can Help Prevent Limb Loss
Peripheral arterial disease (PAD) remains underdiagnosed despite its association with increased risk of cardiovascular events, hospitalization, and lower extremity amputation.
July 2026
Before You Reach Out, Check the Portal
Before initiating outreach for open care gaps, consider checking the VNS Health Provider Portal first. Clinical data collected by or received by the health plan, including blood pressure results and other supplemental information, may help identify care already completed and support quality measure documentation.
July 2026
New Resource for Coding & Risk Adjustment Questions
The new Risk Adjustment Support mailbox provides guidance for providers, coders, and clinic staff on topics such as:
July 2026
Ownership Change? Notification Required Within 35 Days
If your organization experiences a change in ownership, submit an updated Disclosure of Ownership and Control Interest Statement within 35 days.
July 2026
Annual Training & Attestations Due by Dec. 31
To maintain compliance with regulatory requirements, participating Medicare providers must complete annual Model of Care (MOC) training and submit the associated attestation by December 31, 2026.
July 2026
August Capitation Payment Timing Change
Monthly capitation payments will be processed approximately two days later than the current schedule.