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NY Medicaid Eliminates Payments for Most Enteral Nutritional Formula Beneficiaries
04/18/11
NY Medicaid Eliminates Payments for Most Enteral Nutritional Formula Beneficiaries
Beginning on May 1, 2011, NY Medicaid will not pay for enteral nutritional formula for most beneficiaries except:
• Beneficiaries who are fed via nasogastric, gastrostomy or jejunostomy tube.
• Beneficiaries with inborn metabolic disorders.
• Children up to 21 years of age, who require liquid oral enteral nutritional formula when there is a documented diagnostic condition where caloric and dietary nutrients from food cannot be absorbed or metabolized.
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