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Frequently Asked Questions (FAQs)

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Q.	Who can complete the COVID-19 Provisional Temporary Provider Enrollment application?

	Published: 04/10/2020	\|	Updated: 07/07/2021	\|	QID: COVID2

A.	Provisional Temporary Provider Enrollment (PTPE) is only applicable to Physicians, Nurse Practitioners, and registered Physician Assistants whose professional license is issued by the same state that the service address is in, and to Registered Nurses and Licensed Professional Nurses who are licensed in and providing services in New York State to New York State Medicaid enrollees.

Q.	How will I know if the provider has been approved?

	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID3

Q.	How will I know if additional information is needed to process the application?

	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID4

Q.	Is Medicare participation required to complete the PTPE application?

	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID7

Q.	I am a LPN/RN, what place of service should I select?

	Published: 04/10/2020	\|	Updated: 04/28/2020	\|	QID: COVID8

Q.	How do I enroll as a billing provider?

	Published: 04/10/2020	\|	Updated: 04/29/2020	\|	QID: COVID10

Q.	How do I enroll as a non-billing OPRA provider?

	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID11

Q.	I work for a facility, and I'm paid by the facility only. Am I considered a billing provider or a non-billling provider?

	Published: 04/10/2020	\|	Updated: 04/28/2020	\|	QID: COVID12

Q.	How long does it take to process the COVID-19PTPE applications, and is there a way to speed it up?

	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID13

Q.	What happens to the COVID-19 Provisional Enrollment status when the pandemic ends?

	Published: 04/10/2020	\|	Updated: 07/09/2021	\|	QID: COVID14

Q.	Can reinstatement be processed through COVID-19 PTPE, meaning if the provider was previously enrolled but now is not, can s/he become a COVID-19 PTPE provider?

	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID15

Q.	When completing the Attestation form can I only send the signature page?

	Published: 05/14/2020	\|	Updated: 05/14/2020	\|	QID: COVID16

Q.	I am the Credentialer. Does the provider have to physically sign the Signature and Affirmation Attestation form?

	Published: 05/14/2020	\|	Updated: 05/14/2020	\|	QID: COVID17

Q.	I want to affiliate with a hospital/clinic/rate-based institution through the portal. How do I do this?

	Published: 05/14/2020	\|	Updated: 05/14/2020	\|	QID: COVID18

Q.	Who can complete the COVID-19 Provisional Temporary Provider Enrollment application?
	Published: 04/10/2020	\|	Updated: 07/07/2021	\|	QID: COVID2

A.	Provisional Temporary Provider Enrollment (PTPE) is only applicable to Physicians, Nurse Practitioners, and registered Physician Assistants whose professional license is issued by the same state that the service address is in, and to Registered Nurses and Licensed Professional Nurses who are licensed in and providing services in New York State to New York State Medicaid enrollees.

Q.	How will I know if the provider has been approved?
	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID3

A.	A written determination will be sent to the correspondence address provided on the application. To verify online whether a provider is enrolled with NY Medicaid, please visit the appropriate link below: For individual practitioners only, visit https://www.emedny.org/info/opra.aspx. For all provider types, visit https://health.data.ny.gov/Health/Medicaid-Enrolled-Provider-Listing/keti-qx5t.* *NOTE: This listing is updated on a weekly basis.

Q.	How will I know if additional information is needed to process the application?
	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID4

A.	Applications will continue to be reviewed by NYS Department of Health. If more information is necessary to process the application, the provider will be notified via email using the email address entered on the application.

Q.	Is Medicare participation required to complete the PTPE application?
	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID7

A.	No. Medicare participation is not required to complete the PTPE application.

Q.	I am a LPN/RN, what place of service should I select?
	Published: 04/10/2020	\|	Updated: 04/28/2020	\|	QID: COVID8

A.	Please select "Applicant has a Private Practice only."

Q.	How do I enroll as a billing provider?
	Published: 04/10/2020	\|	Updated: 04/29/2020	\|	QID: COVID10

A.	By answering "Yes" to the question, "Are you going to bill Medicaid directly?"

Q.	How do I enroll as a non-billing OPRA provider?
	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID11

A.	By answering "No" to the question, "Are you going to bill NY Medicaid directly?"

Q.	I work for a facility, and I'm paid by the facility only. Am I considered a billing provider or a non-billling provider?
	Published: 04/10/2020	\|	Updated: 04/28/2020	\|	QID: COVID12

A.	If the facility receives the payment directly for your services, you would be considered a non-billing or OPRA provider, unless you are employed and paid the facility's or organization's group, then you would be considered a billing provider.

Q.	How long does it take to process the COVID-19PTPE applications, and is there a way to speed it up?
	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID13

A.	PTPE applications are the Department's highest priority. Currently, the processing is within two to three business days but is subject to change as the situation evolves. As the volume of PTPE applications increases, the turnaround will increase.

Q.	What happens to the COVID-19 Provisional Enrollment status when the pandemic ends?
	Published: 04/10/2020	\|	Updated: 07/09/2021	\|	QID: COVID14

A.	Within six months of the federal public health emergency being lifted, New York State will cease payments to providers who are temporarily enrolled unless a provider has submitted an application that meets all requirements for New York State Medicaid participation, and the application was reviewed and approved by the New York State Department of Health within six months of the federal public health emergency being lifted. At the end of the federal public health emergency, the Department of Health's Bureau of Provider Enrollment will instruct providers how to remain an active provider and continue their participation with NY Medicaid. Providers who do not respond at that time will have their PTPE enrollment terminated. Exception: Any provider who is an out-of-state licensed provider, who does not possess a valid New York State license, whose service address is within New York State, and who was enrolled via the Provisional Temporary Provider Enrollment Process under the authority of New York State Executive Orders during the disaster emergency will be terminated effective June 25, 2021, corresponding with New York State Executive Order 210 which rescinds such authority.

Q.	Can reinstatement be processed through COVID-19 PTPE, meaning if the provider was previously enrolled but now is not, can s/he become a COVID-19 PTPE provider?
	Published: 04/10/2020	\|	Updated: 04/10/2020	\|	QID: COVID15

A.	Yes. However, the provider will be enrolled with an effective date of March 1, 2020. If the provider wishes to be reinstated with a date before March 1, 2020, a full paper enrollment application must be completed. All providers who complete the full application are issued a 90-day retroactive date to the date the enrollment application was received by CSRA, as long as the provider was licensed at that time and all other information is complete.

Q.	When completing the Attestation form can I only send the signature page?
	Published: 05/14/2020	\|	Updated: 05/14/2020	\|	QID: COVID16

A.	No. Both pages of the Attestation form must be uploaded to the PTPE portal. If only the signature page is submitted with an application, it will be returned by the Department for correction.

Q.	I am the Credentialer. Does the provider have to physically sign the Signature and Affirmation Attestation form?
	Published: 05/14/2020	\|	Updated: 05/14/2020	\|	QID: COVID17

A.	No. Although the Department prefers the original signature on the Attestation form, Attestation forms with the provider's name typed in the signature field will be accepted for the duration of the Provisional, Temporary Provider Enrollment period.

Q.	I want to affiliate with a hospital/clinic/rate-based institution through the portal. How do I do this?
	Published: 05/14/2020	\|	Updated: 05/14/2020	\|	QID: COVID18

A.	Once a PTPE provider's enrollment application is approved and a provider ID is assigned, hospitals/clinics/rate-based institutions may associate enrolled practitioners to their facilities via Enter Facilities Practitioner's NPIs (http://npi.emedny.org/Facility/) on eMedNY.org. The PTPE portal currently can enroll practitioners and affiliate them with a physician's group or a multi-professional group practice.

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