OPRA Prescription Requirements

Nancy Leveille and Lisa Volk in Clinical & Quality

As of March 25, 2011, Federal Rules and Regulations required that all ordering and referring physicians or other professionals providing services to Medicaid enrollees be enrolled as participating providers. In December 2013, New York State (NYS) Medicaid issued a Special Edition of the Medicaid Update (http://www.health.ny.gov/health_care/medicaid/program/update/2013/dec13_muspec.pdf) to provide enrollment requirements and guidance for all Ordering, Prescribing, Referring, and Attending (OPRA) servicing/billing providers. See attached for full details.


NYSHFA/NYSCAL CONTACTS:

Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15