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NYEIS Version 4.2 (OPRA) Release Date

New York State Department of Health
New York Early Intervention System (NYEIS) Electronic Mailing List

NYEIS Version 4.2 (OPRA) Release Date


Dear Colleague:

NYEIS Version 4.2 is scheduled to be made available to users on Wednesday, August 26, 2015. This version is being released to implement the Medicaid program requirement to include the ordering/prescribing/referring/attending (OPRA) provider information on all claims for services paid for by Medicaid. Upon release of this version (August 26, 2015), all billing providers will be required to add the referring provider’s NPI on all claims for service coordination, evaluations (including screenings, core, bi-lingual add on and supplemental evaluation claims), and all other general services. This requirement applies to claims regardless of the date of service. There is no ability to bypass this claiming edit in NYEIS once the new version is promoted and referring provider data is required whether a child is Medicaid eligible, has other third party commercial insurance or no insurance coverage.  

In order to deploy this version, NYEIS will be unavailable beginning on Tuesday, August 25, 2015 at 5:00 PM through Wednesday, August 26, 2015 at 8:00 AM. Please do not attempt to log into NYEIS or enter data during this period (Tuesday, August 25, 2015 at 5:00 PM through Wednesday, August 26, 2015 at 8:00 AM). Doing so may result in loss of your data and potentially delay the release of this new version.

Guidance to the field regarding OPRA was sent in an e-mail dated 7/13/2015. Additional clarification, including FAQs, will be sent to the field in the near future. If you have any questions regarding OPRA, please send an e-mail to beipub@health.ny.gov.

If you have questions or need further information regarding NYEIS, please contact the NYEIS help desk at nyeis@cma.com or 518-640-8390.

Article ID: 274, Created On: 8/14/2015, Modified: 8/14/2015

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