PLANNED FEATURE 01
Enter patient and provider data
Organize member information, billing provider identifiers and service details in an editable form.
NEW YORK • MEDICAID PAPER CLAIMS
Software in development / interest surveyeMedNY-150003 New York Medicaid Claim Printing Software
Prepare the New York Medical Assistance Health Insurance Claim Form (eMedNY-150003) with accurate text placement on original preprinted paper.
Not yet available: We are evaluating demand for a standalone Windows printing utility. There is currently no installer, pricing, online purchase or license to order.
PREPRINTED CLAIM FORM • ALIGNMENT CONCEPT
NY Medical Assistance Health Insurance Claim
Member and provider details
Diagnosis and service codes
HCPCS, NDC and charges
Illustration only — not an official claim form or a screenshot of finished software.
ABOUT THE GOVERNMENT FORM
What is the eMedNY 150003 form?
The eMedNY-150003 is New York Medicaid’s Medical Assistance Health Insurance Claim Form for professional paper claims. It is a New York-specific form and is not interchangeable with a standard CMS-1500. When a provider must submit an original paper claim to Medicaid, the form has to meet eMedNY’s requirements.
While most routine professional claims can be handled electronically through 837P or ePACES, New York State’s September 2026 Medicaid Update reiterates that certain practitioner-administered drugs designated By Report (BR), including unclassified drugs, continue to use eMedNY-150003 paper claims with manufacturer invoices and drug details. Providers must report the appropriate HCPCS code, National Drug Code (NDC) and quantity as applicable.
THE PRINTING PROBLEM
Print on original red-ink forms without handwriting every field
New York Medicaid requires original paper claim forms for paper submissions, not the downloadable sample PDF. The envisioned program would print only the claim data onto the state-issued preprinted eMedNY-150003 form, with printer-alignment controls to keep values inside the correct fields.
Instead of positioning text in a word processor or repeatedly retyping a form, the proposed utility would use a dedicated data-entry workspace and printable field layout. An alignment control would help compensate for different printers and paper feeds. For DC-217, California also recommends plain 10-point fonts, uppercase printing and six-digit dates without separators.
What the software is planned to do
These are proposed capabilities, not currently shipping features. The program would be a focused paper-claim preparation tool rather than a full medical or dental practice-management system.
PLANNED FEATURE 02
Record diagnosis and service lines
Prepare relevant professional claim information including dates, procedure codes, amounts and units.
PLANNED FEATURE 03
Capture drug billing details
Support fields and a checklist for HCPCS, NDC and quantity when a paper drug claim requires them.
PLANNED FEATURE 04
Fine-tune red-form printing
Test horizontal and vertical alignment so black claim data lands on preprinted paper correctly.
PLANNED FEATURE 05
Save recurring information
Reuse provider details and reopen saved claim drafts to reduce repeated entry.
PLANNED FEATURE 06
Check paper-claim documentation
Remind staff to review required invoices, clinical worksheets or other attachments before mailing.
Not every New York Medicaid claim must be filed on paper. Eligibility for paper submission and attachment requirements depend on the claim and current Medicaid guidance. This proposed utility would print forms, not transmit claims or determine coverage, reimbursement or approval.
PROPOSED WORKFLOW
How printing would work
Obtain genuine paper stock
Order original eMedNY-150003 claim forms through the eMedNY call center; the sample PDF is not valid for filing.
Prepare the claim
Enter member, provider, service and drug-related details where applicable.
Align and print
Use a laser printer to place black text onto the preprinted form.
Attach documentation and submit
Follow current NY Medicaid instructions, including invoices or worksheets required for certain drug claims.
The linked government resources describe the official form and submission rules. MedClaimSoftware is an independent software company and is not affiliated with or endorsed by the California or New York Medicaid programs.
COMMON QUESTIONS
eMedNY 150003 printing FAQ
Is eMedNY-150003 the same as CMS-1500?
No. It is a New York Medicaid-specific paper form with its own required layout and claim instructions.
Which New York Medicaid claims still use paper forms?
New York continues to require paper eMedNY-150003 submissions for certain By Report practitioner-administered drugs, including qualifying unclassified codes. Most routine professional claims may use electronic submission methods.
Can I print a blank official form from the sample PDF?
No. eMedNY states that sample forms cannot be used for live Medicaid submissions. Providers must use original paper forms.
Does this program submit 837P claims?
No. This proposed product is a dedicated eMedNY-150003 paper printing tool. Our separate 837P software handles supported electronic professional claim file creation.
Can I purchase the eMedNY-150003 printer utility today?
Not yet. The product is being evaluated and does not currently have an installer or an ordering option.
Would a standalone eMedNY 150003 printing program help your office?
Tell us you are interested and what printing problem you need solved. We are assessing demand before releasing the software. Please do not share patient information.
Also evaluating: California DC-217 Denti-Cal printing software. Explore all MedClaimSoftware products.