MedicaidCoverageMedium impact
Update on NYS Medicaid Coverage for Therapeutic Transcranial Magnetic Stimulation (TMS)
Healthfirst·NY · Psychiatry, Neurology·Provider Update
We identified it
Jun 20, 2026
Summary
New York State Medicaid has updated coverage policies for Therapeutic Transcranial Magnetic Stimulation (TMS), a non-invasive brain stimulation treatment typically used for depression and other psychiatric conditions. This policy change affects billing and coverage requirements for TMS procedures under NYS Medicaid.
Action Required
Immediately: Billing teams treating NYS Medicaid patients should review the updated TMS coverage policy at the provided source URL to understand new coverage criteria, prior authorization requirements, and documentation standards. Update billing procedures and prior authorization workflows for TMS services accordingly to ensure claims compliance.