New york medicaid provider enrollment

You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid.

The site is updated regularly to meet the ever-growing needs of the New York State provider community. If you need help finding what you're looking for, please visit our Site Map, use the search above, or you can contact us directly for assistance. Provider List Filter Select a radio button to filter the list of providers below. Assisted Living Program ALP Audiologist Provides services to children in foster care who have significant mental health, developmental disabilities or health care needs to help them to live in a home or community-based setting.

Bridges to Health Waiver B2H Provides medical assistance to families with children living at home who have severe disabilities or medical conditions. Harm Reduction Services A Health Home is a care management service model whereby all of an individual's caregivers communicate with one another so that all of a patient's needs are addressed in a comprehensive manner. Home Health Agency HHA A coordinated plan of medical, nursing and rehabilitative care provided at home to eligible persons who are medically eligible for placement in a nursing home.

Hospice providers are licensed by the Department of Health. Hospice Hospital hour medical and behavioral care for those individuals whose disabilities prevent them from living independently. Intermediate Care Facilities Both freestanding and facility-based laboratories Laboratory LAB Enrollment required when employed by a freestanding laboratory. Nurse Registry Nursing Home Home and Community Based program which provides supports and services to assist individuals with disabilities and seniors to return to, and remain in, the community.

Services include, but are not limited to, individual and group therapies. The purpose is to enhance a person's continuing functioning in the community. Reimbursement is only available for services rendered to Qualified Medicare Beneficiaries QMB's Portable X-Ray Provides Medicaid reimbursement to school districts for certain diagnostic and health support services for students with disabilities.

Service Bureau Enrollment required when employed by a freestanding pharmacy. Supervising Pharmacist Includes Occupational, Physical and Speech Therapy services Therapist Includes ambulance, ambulette, taxi and livery Transportation Provides services designed to assist individuals who have suffered a TBI to remain in their homes and communities.

Complete ALL items on the form unless otherwise instructed below. Failure to complete all required fields will result in your enrollment form being returned to you which may have an impact on the enrollment effective date. Required documents MUST cover the application date and be continuous through the current date.

Completion of signature field is required and must be original. Initials or rubber stamped signatures will not be accepted. Type or legibly print in black or blue ink. Do not use red ink, nor white-out. All attachments will be scanned so they must be legible and on standard 8.

Keep a copy of all documents submitted. Valid Telephone numbers are required for each service address. Additional Instructions for the Enrollment Form. See Requirements and Additional Forms below. Please note: You will be at financial risk if you render services to Medicaid beneficiaries before successfully completing the enrollment process. Footwear: If enrolling to provide Prescription Footwear, you must employ a person credentialed as an orthotist, pedorthist or prosthetist, and include copy of License with application.

Oxygen-Related Equipment: If enrolling to provide oxygen-related equipment, you must employ a licensed respiratory therapist, and include copy of License with application.