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Provider Enrollment


Prospective providers who wish to bill for Non-Medicare Clients need to enroll in New York State Medicaid through the Rate Based Provider Unit. Please call (800) 342-3005, Option 4.

Please Note: Existing providers have the option of billing new programs or services with an NPI already enrolled with the NY State Medicaid Program or an NPI unknown to NYS Medicaid. To report an unknown NPI, an enrollment application will be sent to you to complete and return to Medicaid's fiscal agent, Computer Sciences Corportion (CSC). Adding a new service or program to an enrolled NPI may require completion of other enrollment documents. Please contact the Rate Based Provider Bureau at (518) 474-3575, option 4 or (800) 342-3005, option 4 if you have any questions regarding these NPI options.
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 copy of your Medicare award of participation letter.

 

A list of the facility's or program's owners and/or Board of Directors with addresses.

 

A copy of your NPI assignment notification.

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