Claims that are sent to Medicaid must have an OPRA (Ordering/Prescribing/Referring/Attending) enrolled referring provider. Medicaid will deny claims billed with a referring who is not OPRA enrolled (including Speech Language Pathologists). It is the responsibility of the agency to confirm the credentials and proper Medicaid enrollment for all referring providers utilized on claims prior to billing.

Billing Providers encountering situations which delay the ability to submit claims on a timely basis may enter an Extraordinary Circumstance (EC) in the EI-Hub's Billing Module. The EC represents the reason that claims could not be submitted within the Bureau’s timely filing guidelines. ECs are entered once for the entire date range the billing provider was affected and must be entered before submitted any claims for the affected time period. For more information, including a job aid on how to enter ECs, follow the link above.

New resources are now available in the Learning Management System, covering service authorizations and claiming for transportation and respite services. This article includes direct links to these resources—follow the link for more information.

An In The Loop article titled “Entering Commercial Insurance in the EI-Hub” released on 03/20/2025 provides guidance on entering commercial insurance. The article notes that commercial insurance companies often have multiple billing addresses for claims. However, with Covered Lives legislation, only the insurance company's name is required in the EI-Hub. Follow the link for more information.

During claiming, data from the Case Management module transfers to the Billing module to verify claim accuracy. This transfer requires key data, including the child’s address. If the address is missing, claims though accepted will not appear in the Invoice Batch Statuses Report until the information is available. This article explains how to use the Child Lookup feature to confirm if the child is in the Billing module.

As a reminder, beginning October 1, 2025, the Department will return to a bi-weekly Escrow payment schedule. The last weekly Escrow payment will be September 17, 2025. There will be no Escrow payment disbursed the week of September 24, 2025, and the first biweekly Escrow payment will then be on October 1, 2025. Follow the link to view the escrow payment calendar for the remainder of 2025. If you have questions regarding recoupment of Stopgap Payment funds, you may email EIP.Fiscal@health.ny.gov.

On August 29, 2025 the Bureau of Early Intervention released the bi-weekly update on the EI-Hub via listserv. Follow the link to read the full communication.

On August 15, 2025 the Bureau of Early Intervention released the bi-weekly update on the EI-Hub via listserv. Follow the link to read the full communication.

On August 1, 2025 the Bureau of Early Intervention released the bi-weekly update on the EI-Hub via listserv. Follow the link to read the full communication.

Coming Soon! All EI-Hub users will be required to use MFA to access the application in the HCS. Users will not be able to access the EI-Hub without setting up MFA in the HCS application. While the requirement for MFA has not yet been implemented, users are encouraged to set up MFA as soon as possible to ensure continuity of access. Note, if you have previously set up MFA for other HCS applications, you will not be required to complete the set-up process again. Follow the link for more information.