Can DoulaPaid produce CHW claim packets for New York?

Yes, for the verified billing rows listed for this state. Other downloads and billing instructions are unavailable.

CHW partly verified · New York

New York Medicaid CHW billing

New York publishes an eMedNY CHW policy manual with 98960, 98961, and 98962 rows, U1/U3 or CVP modifier-order rules, and annual unit limits. Official sources confirm the listed billing rules.

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Verified rows only.

Do not use unresolved settings for billing.

No client details collected.

Official source status

What is available

Billing details are verified for Indiana, Michigan, Minnesota, North Dakota, New York, and Washington. Other CHW states do not have verified rates and billing requirements.

Status: partly verified
Source checked: IN/MI/MN/ND/NY/WA verified; other CHW billing paths unverified
Last updated: 2026-06-30

Official payer source

eMedNY Provider Policy Manual: Community Health Worker Services

Publisher: New York State Department of Health / eMedNY. Source checked 2026-06-30.

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Requirements to verify

Billing requirements

Which New York CHW billing path, modifier order, group-size code, adult or pediatric annual limit, and diagnosis or risk-support rule applies before selecting a claim line?

Credential requirements

Which New York CHW provider entity, CVP or non-CVP path, adult diagnosis/risk criteria, and documentation requirements must be retained before billing?

Next steps

See a sample readiness map Open summary