Electronic Funds Transfer (EFT) is a method of transferring payments electronically from NYS Medicaid directly into a Provider's checking or savings account.

To enroll in EFT you must complete an Electronic Funds Transfer (EFT) Enrollment Form (click on the link to open the form), available on www.emedny.org. Please carefully read the INSTRUCTIONS SHEET found in the same document and follow its directions. Please note the form must have an original signature (no signature stamps) and that a defaced original check from your checking or savings account must be attached. Provider bank accounts without checks should submit a notarized letter on bank letterhead signed by a bank officer. The letter must include the bank name and address, ABA number, provider account number and tax ID, type of account, bank officer's name, title, signature, and phone number.

Note: A completed EFT form and accompanying check/letter must be submitted for each Provider who wishes to receive funds via EFT. The only exception is for a group practice which only receives checks and remittances with a Group ID.

The Electronic Funds Transfer (EFT) Enrollment Form is available on www.emedny.org. This form is located on the Provider Enrollment Forms page of Information tab on the www.emedny.org website.

No, there must be an original signature (no signature stamps) on the form and an original, defaced check or notarized letter on bank letterhead must accompany the form.

Mail to:

Attn: EFT Processing
Computer Sciences Corporation
P.O. Box 4616
Rensselaer, NY 12144

No, you must submit a signed (no signature stamp) EFT Enrollment Form and defaced original check or notarized letter from the bank for each provider.

The Group ID may be entered in the Provider ID # only if the Group receives all payments for its associated providers. The Group's executive must sign the form and an original, defaced check or notarized bank letter must accompany the EFT Enrollment form.

Note: If any individual provider in the Group receives a check from Medicaid separate from the Group banking account, a separate signed EFT Enrollment Form and original, defaced check or notarized bank letter must be submitted for that provider.

No, the form must be signed and submitted by the provider with an original, defaced check or notarized bank letter attached. Only NYS Medicaid can set up the EFT transaction for you.

Yes. You may enroll in EFT to obtain electronic payment and still receive a paper or electronic remittance statement.

Your remittance statement will be mailed to the Pay To address on file with NYS Medicaid. The EFT payment will be deposited into your checking or savings account.

The individual practitioner or the administrator for the institution must sign the EFT Enrollment Form. Any unauthorized signatures will be rejected.

Check with your bank.

Check with your bank.

Yes, submit an original, defaced check from the account with the EFT enrollment form or a notarized letter on bank letterhead signed by a bank officer that includes the bank's name and address, routing number, the type of account, account number, account owner's name, address and tax ID.

No.

Yes, you may submit a notarized letter on bank letterhead signed by a bank officer that includes the bank's name and address, routing number, the type of account, account number, account owner's name, address and tax ID.

You may use your Social Security Number.

The EFT enrollment process can take a minimum of 6-8 weeks.

Monitor your bank statement. You will receive a test EFT payment of $.01 in your designated checking account. Your first EFT transaction will take place about 10 days later.

You will only be contacted if the EFT application is not filled out correctly. A notification letter indicating the error on the form will be sent to you.

Please contact the Provider Services Call Center at 800-343-9000 for assistance. Select the option appropriate for your billing type from the phone tree menu.

It is possible that you are not due payment for that cycle. If you do not receive an expected EFT payment, please contact the Provider Services Call Center at 800-343-9000 for assistance. Select the option appropriate to your billing type from the phone tree menu.

EFT transactions will be initiated on Wednesdays and due to normal banking procedures, the transferred funds may not become available in the provider's chosen account for up to 48 hours after transfer. Please contact your banking institution regarding the availability of funds.

You will need to submit a NEW signed (no stamps) EFT Enrollment form with an original, defaced check from the new checking account and a letter on company letterhead indicating the changes. In the interim, until your new EFT Enrollment Form is processed, your payment will revert to a check sent to the Pay To Address on file with NYS Medicaid.

Mail to:

Attn: EFT Processing
Computer Sciences Corporation
P.O. Box 4616
Rensselaer, NY 12144

You will need to submit a letter on company letterhead indicating termination of your EFT payment. Include the Provider ID(s) affected. The individual practitioner or administrator for the institution must sign (no stamps) the letter. Your payment will revert back to a paper check 5-6 weeks after the EFT transaction is terminated. The check will be sent to the Pay To Address on file with NYS Medicaid.
 

Mail to:

Only if the routing number and/or account number changes. If these numbers remain the same, there is no need to restart the EFT enrollment process.