Diagnostic and Treatment Centers Electing to Contract for Procedures Subject to the Ancillary Policy
For additional information on the APG DTC Ancillary Policy: http://www.health.ny.gov/health_care/medicaid/rates/policy/docs/dtc_ancillary_policy.pdf
Contracting for
Clinic Provider The Brookdale Family Care Center‐Linden
The Brookdale Family Care Center ‐Flatbush
The Brookdale Family Care Center ‐New Lots
The Brookdale Family Care Center ‐Urban Strategies
Planned Parenthood of the Southern Finger Lakes
Greene County Family Planning
Martin Luther King, Jr. Health Center, Inc.
Medisys Family Care Ctr. (East NY)
Medisys Family Care Ctr. (Hollis‐Tudor)
Medisys Family Care Ctr. (St. Albans)
Oswego Opportunities Inc.
Huntington Hospital Dolan Family Health Center
Onondaga County Department of Health
Syracuse Model Neighborhood Facility (Family Planning)
All Med & Rehabilitation
Chautauqua County Health Department
West Nassau Dialysis Center Springfield Dialysis Center Ridgewood Dialysis Center (dba Springfield Dialysis Center)
Newtown Dialysis Center (dba Broadway Dialysis Center)
Newtown Dialysis Center (dba Astoria Dialysis Center)
Central Brooklyn Dialysis Center
Central Park Dialysis Center
East End Dialysis Center
Morrisania Dialysis Center
New Hyde Park Dialysis Center
Newtown Dialysis Center
New York Renal Dialysis Center
Park Slope Dialysis Center
Ridgewood Dialysis Center
Labs
Radiology
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Phone
718‐240‐5219
718‐240‐5219
718‐240‐5219
718‐240‐5219
607‐796‐0220 x 305
518‐719‐3580
718‐466‐6072
718‐206‐6820
718‐206‐6820
718‐206‐6820
315‐598‐4715 x1231
631‐425‐4182
315‐435‐3685
315‐435‐3686
718‐866‐0154
716‐753‐4792
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
347‐312‐3029
Date Removed from Contracting List
Labs
Radiology
2/1/2015
5/15/2013
5/15/2013
Diagnostic and Treatment Centers Electing to Contract for Procedures Subject to the Ancillary Policy
Note: Please contact specific facilities for additional information. Sign up for the APG Website Electronic Mailing List to receive a notice when this list is updated. There are specific situations outlined in the APG DTC Ancillary policy when clinic providers not listed above can bill Medicaid for ancillary services and then pay ancillary services providers directly. It is never appropriate for both an ancillary services provider and a clinic to bill for an ancillary service. List addition or deletion requests should be sent to [email protected], and questions about the ancillary policy should be sent to [email protected]
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