Medicaid Coverage for Digital Breast Tomosynthesis

The NYS Health Department announced in the August 2017 Medicaid Update that the State’s Medicaid program will provide coverage for digital breast tomosynthesis, effective September 1, 2017 for Medicaid fee-for-service, and November 1, 2017 for Medicaid Managed Care. Further information can be found at this following link:

https://www.health.ny.gov/health_care/medicaid/program/update/2017/2017-08.htm

​The New York State Radiological Society was instrumental in getting DBT covered by the New York State Medicaid program by advocating at every level of government, including the State Legislature and the Executive Branch. Last year Society members met with officials at the New York State Health Department, Insurance Department, and the Governor’s Office to gain support for including DBT in the State’s Medicaid benefit package. In addition, last December the Society developed a joint statement with the Medical Society of the State of New York and provided testimony at the New York State Medicaid Evidence Based Review Advisory Committee meeting in support of Medicaid Coverage of DBT.

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