To expedite the enrollment process, you can begin collecting copies of documents that you will need to include when you submit the completed enrollment form:

	A copy of your FEIN documentation showing both the name and number preprinted (a W-9 is not sufficient for enrollment purposes).
	A list of the facility's or program's owners and/or Board of Directors with addresses.
	A confirmation notice for the OMIG Provider Compliance Program may be required. Visit www.omig.ny.gov to determine if the provider must comply. If yes, copy of the confirmation notice (printed from the website) must be included with the enrollment application.

• Managed Care Services Manual
• ETIN