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Important Compliance Reminder: Verification Required Prior to Rendering SDED Services
2/11/2026 • Posted by Provider Relations

In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED). Additionally, Medicaid does not reimburse any supplies or procedures used to treat SD/ED for persons required to register as sex offenders.

Before providing services to Fidelis Care Medicaid members, providers must first obtain authorization for any prescription or physician-administered drugs and procedures or supplies related to SD or ED. Peyronie’s Disease (N48.6) is also classified as a SD diagnosis by the New York State Department of Health.

NYS Medicaid FFS has compiled the following list of services used for the treatment of SD/ED: (New York State Medicaid Update - September 2021 Volume 37 - Number 11)

 

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