MedicaidAdministrativeHigh impact
Reminder: Taxonomy Code Enforcement for Medicaid Claims
EmblemHealth·Provider News
Effective date
Sep 30, 2021
We identified it
Jun 20, 2026
Summary
EmblemHealth is enforcing required Taxonomy Codes for all Medicaid claims to prevent rejections. Claims missing proper Taxonomy Codes will be rejected as 'unclean' and require resubmission.
Action Required
By end of Q3 2021: Billing team must ensure all Medicaid claims include required Taxonomy Codes in billing system. Update claim submission workflows to validate Taxonomy Code presence before transmission. Claims without proper Taxonomy Codes will be rejected as unclean.