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Provider Enrollment
Provider Enrollment > Limited Licensed Home Care Service Agency (LLHCSA)


To enroll a Limited License Home Care Service Agency (LLHCSA) in New York State Medicaid, you must be licensed by the Department of Health. After you are licensed, you must establish contracts with the counties in which you want to provide services.

Upstate providers must contact the County Department of Social Services. (Check the guide to local government office service listing in your phone directory to obtain a telephone number.) Agencies who wish to provide services within the 5 boroughs of New York City (Kings, Bronx, New York, Queens and Brooklyn) contact HRA (Human Resource Administration) at (212) 860-3748.

Once the New York State Medicaid Program has received notice from the NYS Bureau of Long Term Care that the appropriate contracts and approvals are in place, an enrollment package will be mailed to the Home Care Agency.

Enrollment Checklist
 

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.

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