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Updated September 1, 2026

// Payer directory
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Verify Medicaid New York eligibility in real time.

Medicaid New York supports electronic real-time eligibility. Send the check to payer ID MCDNY and the full benefits picture comes back in seconds, before the patient sits down.

Payer ID MCDNYReal-time eligibility: YesNYdental / medical / visionMedicaid

Also billed as: NYSDOH · New York State Department of Health · New York State Medicaid · eMedNY

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Seconds

The same Medicaid New York check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.

5 billing names

Medicaid New York shows up on cards under 5 names. Every one routes to payer ID MCDNY, and so do 11 older payer IDs still printed on cards. No guessing which card this is.

42 Medicaid plans

verify in real time through Valian. One setup covers the whole Medicaid family, Medicaid New York included.

From $39/mo

Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.

The phone way

Call, hold, transcribe, repeat.

Verifying Medicaid New York by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.

The real-time way

Payer ID MCDNY, in seconds.

The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.

 By phoneIn Valian
Time per patient15 to 25 minutes on holdSeconds
When it happensDay of, squeezed between patientsAny time before the visit, in one click
What you getNotes scribbled while someone reads benefits aloudThe full breakdown, saved to the patient

What a Medicaid New York eligibility check returns

  • Whether coverage is active, with plan and group details
  • Deductible, and how much of it is already met this year
  • Annual maximum, and how much of it is left to work with
  • Coverage percentages by category: preventive, basic, major
  • Frequency limits on cleanings, exams, and X-rays
  • Waiting periods, where Medicaid New York reports them electronically

Eligibility result

Sample data
Status
Active
Plan
PPO · Group 8823
Deductible
$50 · $0 met
Annual max
$1,500 remaining
Preventive
100%
Basic
80%
Major
50%
Cleanings
2 / year

Returned in seconds · payer ID MCDNY

How practices handle this today, in their own words

Verbatim from recorded calls to dental offices. Names withheld.

We call the insurance, or I go on their website and do it. Yeah, we manually do it.
Office manager, general dentistry
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Front office lead, general dentistry
Our system does it, and the ones that are not set up for electronic, we do ourselves.
Practice manager, multi-provider group

How getting set up works

Step 1

Book a discovery call

A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.

Step 2

Save your carriers and codes

Pick the insurance carriers you take and the codes you check.

Step 3

Run a check in one click

Sign in, pick a patient and see their coverage in seconds before the visit, Medicaid New York included. No hold music, no portal logins.

Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.

What Medicaid NY supports through our network

Real-time eligibility (270/271)
Yes, in seconds
Enrollment for eligibility
None, checks work day one
Dental claims (837D)
Not through our network
Claim status (276/277)
Yes, after enrollment
Electronic remittance (835)
Yes, after a multi-step enrollment, typically a few weeks
Electronic funds transfer
Not through our network
Claim attachments
Not through our network

Names and IDs this payer goes by

Medicaid New York · NYSDOH · New York State Department of Health · New York State Medicaid · eMedNY. Older cards may show payer ID 00812, 100231, 10155, 12K35 and 141797357. All of them route to payer ID MCDNY.

Payer site: www.emedny.org

How to verify Medicaid New York, step by step

1

Get the member ID and date of birth from the card or the patient.

2

Send the electronic eligibility request (a 270) to payer ID MCDNY.

3

Read the response (the 271): status, deductible, max, percentages, frequencies.

4

Save the breakdown to the patient. With Valian, all four take one click and a few seconds.

Medicaid New York runs Medicaid plans across New York. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.

Medicaid New York, for your front desk

Phone numbers and portal, from Medicaid New York's own provider pages.

Provider customer service
800-343-9000
Provider portal
Provider Services Portal (PSP)

Source: Medicaid New York, option1 page. Checked September 19, 2026.

Medicaid New York, quick answers

Does Medicaid New York support real-time eligibility?

Yes. Eligibility checks to Medicaid New York clear electronically in seconds through payer ID MCDNY.

What payer ID do I use for Medicaid New York?

MCDNY for eligibility transactions. The same payer also appears on cards as NYSDOH, New York State Department of Health, New York State Medicaid.

What does a check cost with Valian?

Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.

Does Medicaid New York require enrollment before I can check eligibility?

No. Eligibility checks work from day one, with no payer enrollment paperwork.

Which Medicaid New York plans does this cover?

Medicaid New York runs Medicaid plans in New York. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.

Can I get Medicaid New York remittances electronically?

Yes. Medicaid New York sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.

What if the patient's card shows a different Medicaid name?

Alternate billing names route to the same payer ID, MCDNY. The same check covers them.

More questions about verifying Medicaid New York? Schedule 15 minutes with us and bring your toughest plan.

Check any Medicaid New York patient in one click, before they walk in.

Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.

Book 15 minutes, demo or onboarding

Pick a time, then tell us on the form whether it is a demo or an onboarding call.

View all 760 payers

Other New York dental payers

38 other payers operating in New York also verify in real time, 9 of them with Medicaid plans.

Medicaid plans in New York: Aetna Better Health New York, Anthem Blue Cross Blue Shield of New York, Healthfirst (Health Insurance for New Yorkers), Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP, Highmark Blue Cross Blue Shield (Western and Northeastern NY), Highmark Blue Cross Blue Shield of Western New York, and 3 more.

All 39 New York payers, with plan types and enrollment

The Medicaid family in the network

42 Medicaid plans verify in real time through Valian.

More payers operating in New York

Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.