NEMT Medicaid Billing · New York
NEMT Medicaid Billing in New York
New York runs NEMT fee-for-service through one statewide broker, MAS — but the claim is paid by eMedNY, the state's Medicaid system. We work at the program level: matching every MAS authorization to a clean eMedNY claim, coding each level of service, and reconciling every remittance, so the New York Medicaid trips you already drove turn into money in the bank. Remote back-office support for New York NEMT providers.
Quick Answer
In New York, NEMT is carved out of managed care and run fee-for-service through a single statewide broker, MAS (Medical Answering Services), across all 62 counties — but MAS authorizes the trip, it does not pay it. The claim for a completed trip is submitted to New York Medicaid through eMedNY, the state's MMIS, which adjudicates and pays it, so billing a MAS-authorized trip means building an eMedNY claim that matches the MAS authorization and its level of service (ambulatory, wheelchair, ambulette or stretcher, transit, or mileage) exactly. New York Medicaid generally applies a 90-day timely-filing window in eMedNY, so trips have to be billed while they are fresh. SS Support Network is an independent, remote back-office billing service — not affiliated with MAS or New York Medicaid — that turns each MAS authorization into a clean eMedNY claim, codes the level of service, works denials, and reconciles every remittance to the trips you actually ran.
The whole MAS-to-eMedNY billing cycle, one remote team
SS Support Network is an independent billing, credentialing, and support service provider - not affiliated with, endorsed by, sponsored by, or partnered with MAS (Medical Answering Services), any Medicaid broker, or any state Medicaid agency. All broker names and trademarks belong to their respective owners. We are a remote back-office team that bills eMedNY claims on behalf of transportation providers who run MAS-authorized New York Medicaid trips.
The short answer
How does NEMT Medicaid billing work in New York?
Here is the part that trips up New York fleets: MAS authorizes the trip, but MAS does not pay it. New York carves NEMT out of managed care and runs it fee-for-service through one statewide broker for all 62 counties — and the claim for a completed trip is submitted to New York Medicaid through eMedNY, the state's MMIS, which adjudicates and pays it. So getting the trip assigned is one job; getting paid is another, and it happens in eMedNY. This page works at the program level — how a MAS authorization becomes a clean eMedNY claim, the timely-filing discipline, level-of-service coding, and upstate-versus-downstate reconciliation. For the MAS portal roster mechanics themselves, we link down to our MAS billing page. Remote back-office support for New York NEMT providers, priced at 35-70% less than a fully-loaded in-house biller.
Step 1
Does MAS or eMedNY pay New York Medicaid NEMT claims?
The claim for a completed MAS-authorized trip goes to New York Medicaid through eMedNY — by portal or an EDI feed from your billing system — not to MAS. Each eMedNY claim has to carry the MAS trip authorization, the correct level of service, the pickup and drop-off, mileage, and the dates and times that match the trip MAS authorized. We handle that eMedNY submission at the program level: pulling the authorizations from your MAS roster, building the claim to match, and submitting on a set cycle so trips are billed while they are fresh. The step-by-step of working inside the MAS portal itself is covered on our MAS billing page — this page owns the eMedNY side.
Step 2
What is the timely-filing window for New York Medicaid NEMT claims?
New York Medicaid generally applies a 90-day timely-filing window in eMedNY, though some materials cite a longer period of up to six months for certain situations — confirm the current New York Medicaid Transportation Manual and your remittance messages rather than trusting a single number, because the rule and its exceptions can change. The operating discipline does not change either way: a MAS-authorized trip that ages out is money gone. We bill on a schedule that keeps every eMedNY claim inside the window, flag anything approaching the deadline, and never let a trip sit unbilled because the details got fuzzy.
Step 3
Level-of-service coding: ambulatory to stretcher
New York NEMT pays by level of service, and the eMedNY claim has to name the right one: ambulatory, wheelchair, ambulette or stretcher, public transit, and personal-vehicle mileage each carry their own coding and rate. A wheelchair trip billed as ambulatory short-pays; an ambulette trip coded wrong gets denied. The claim also has to reconcile mileage and any add-ons to the trip actually run and to what MAS authorized. We map each authorized tier to the correct eMedNY coding before the claim goes, so the level of service you drove is the level of service you get paid for.
Step 4
Upstate vs downstate reconciliation & denials
The last mile is proving you were paid for every MAS-authorized trip you ran — across both MAS desks. Downstate and the New York City metro run dense, high-frequency trips; upstate runs longer-distance and rural mileage. Either way the reconciliation runs against the eMedNY remittance: each payment matched to its trip, and short-pays, missing claims, and silent denials surfaced instead of disappearing into the volume. When an eMedNY claim denies, we read the reason code, correct it against the MAS roster, resubmit the same week, and track the pattern so the same denial stops repeating. Your revenue matches your operation instead of trailing it.
Approved, then paid
Credentialing gets you the trips — eMedNY billing gets you the money
Enrollment and billing are two halves of the same New York relationship. If you are still getting set up to run MAS-authorized trips, start with credentialing — New York's two-step Letter of Support then eMedNY sequence. If you are running trips and the revenue is not keeping up, the fix is usually in the eMedNY claims. For the MAS portal roster mechanics behind the claim, see our MAS billing page; for the national picture, see all NEMT billing. We do the whole New York back office, so the handoff between assigned and paid never drops.
How it works
Three steps to a clean eMedNY claim cycle
- 1
Free billing review
We read your last few eMedNY remittances and your aging report, find the denials and short-pays hiding in them, and show you what a clean cycle recovers. Written within 1 business day.
- 2
We take the claims
Pulling the MAS authorizations from your roster and working in eMedNY under your login, we submit clean claims on a set cycle and match every claim and level of service to its MAS authorization before it goes.
- 3
Denials worked, money reconciled
Denials corrected and resubmitted the same week, eMedNY remittances matched to trips upstate and downstate, short-pays chased. You get a clear report of what was billed, paid, and still open.
Common questions
New York Medicaid NEMT billing, answered straight
eMedNY pays. MAS (Medical Answering Services) is the single statewide broker that authorizes and assigns New York Medicaid NEMT trips, but MAS does not adjudicate the claim. The claim is submitted to New York Medicaid through eMedNY, the state's MMIS, which pays it. So at the program level, billing a MAS-authorized trip means building an eMedNY claim that matches the MAS authorization exactly. We handle that eMedNY submission at the program level; for the MAS portal roster mechanics we point you to our MAS billing page.
New York Medicaid generally applies a 90-day timely-filing window in eMedNY, though some materials cite a longer period of up to six months for certain situations. Because the exact rule and any exceptions can change, confirm the current New York Medicaid Transportation Manual and your remittance messages before relying on a specific number. Either way, the discipline is the same: bill MAS-authorized trips while they are fresh so nothing ages out, and we run your eMedNY cycle on a schedule that keeps every trip inside the window.
New York NEMT is paid by level of service: ambulatory, wheelchair, ambulette or stretcher, public transit, and personal-vehicle mileage each have their own coding and rate. The eMedNY claim has to carry the level of service MAS authorized, with mileage and any add-ons that reconcile to the trip actually run. Most level-of-service denials come from the claim drifting from the MAS authorization, so we match the authorized tier to the eMedNY claim before it goes.
No. New York carves NEMT out of managed care and runs it fee-for-service through a single statewide broker, MAS, across all 62 counties, with claims paid through eMedNY. That is different from most states, where a health plan routes trips to its own broker. It means the routing question in New York is simple, and the billing question is specific: the claim goes to eMedNY, not to a managed-care plan, and it has to match what MAS authorized.
The reconciliation logic is the same statewide, but the volume and mix differ: downstate and the New York City metro run dense, high-frequency trips while upstate runs longer-distance and rural mileage. We reconcile every eMedNY remittance against your trip records and the MAS roster regardless of desk, so short-pays and missing claims surface whether the trip ran in Buffalo or the Bronx, instead of getting written off because the volume is high.
No. SS Support Network is an independent billing, credentialing, and support service provider - not affiliated with, endorsed by, sponsored by, or partnered with MAS, any Medicaid broker, or any state Medicaid agency. All broker names and trademarks belong to their respective owners. We are a remote back-office team that bills eMedNY claims on behalf of transportation providers who run MAS-authorized New York Medicaid trips.
Want us to read your last eMedNY remittance for leaks? Call +1 (657) 777-0006 — 24/7.
Official references: NY DOH Medicaid Transportation · eMedNY · MAS. Verify current requirements with your state Medicaid program and broker.
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Find the money hiding in your eMedNY remittances
Send us your last few eMedNY remittances and your aging report. Within 1 business day: the denials and short-pays we can recover, and a flat quote to run your MAS-authorized New York Medicaid claims clean — no sales pressure.
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