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Provider Enrollment


To enroll a Personal Recovery Oriented Services (PROS) in New York State Medicaid, prospective providers need to be licensed by the Office of Mental Health (OMH).

To obtain an operating certificate through the Office of Mental Health (OMH) you may contact the field office in your area.

    Central Field Office (315) 426-3930

    Hudson River Field Office (845)454-8229

    Long Island Field Office (631) 761-2508

    Western NY Field Office (716) 885-4219

    New York City Field Office (212) 330-1650

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

 

A copy of your NPI assignment notification.

Downloads
 

   
 
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