Medicaid New York

Summary

Medicaid New York is a dental, medical, and vision payer operating in New York. Claims route under payer ID MCDNY, with 11 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

MCDNYAlso seen as 00812, 100231, 10155, 12K35, 141797357, 1422 and 5 more

Also known as

NYSDOH, New York State Department of Health, New York State Medicaid, eMedNY

Service area

NY

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Medicaid New York?

The payer ID for Medicaid New York is MCDNY. Alternate IDs seen across clearinghouses include 00812, 100231, 10155, 12K35.

Does Medicaid New York require ERA enrollment?

Yes. Medicaid New York requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicaid New York cover?

Medicaid New York operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicaid New York offer?

Medicaid New York covers dental, medical, and vision.

Can I submit claims to Medicaid New York electronically?

Yes. Medicaid New York is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).