eMedNYHIPAASupport > Frequently Asked Questions

Frequently Asked Questions (FAQs) for eMedNY HIPAA Support

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Q.	NPI, National Provider Identifier – How can I tell if I need to use my NPI for NYS Medicaid billing?

	Category: Provider	\|	Published: 11/03/2011	\|	Updated: 08/10/2026	\|	QID: PR05

All provider types are required to obtain an NPI for enrollment purposes. However, the following provider types should not submit a claim with an NPI:

ALP - Assisted Living Program (COS 0267)
Bridges to Health Waiver (COS 0124)
HHAS: Case Management Services (COS 0265) NPI is not required if the rate code is 5210 thru 5214.
HHAS: OPWDD (previously OMRDD) Waiver Services (COS 0269)
HHAS: Vendor Personal Care Services (COS 0264)
Non-Emergency Transportation (COS 0602, 0603, 0604, 0605, 0606, and 0609)
OS: Eyeglass Materials (Upstate) (COS 0408)
PCPS Capitation Provider (COS 0220)
PCS: Personal Emergency Response Services (PERS) (COS 0266)
Waiver Service (COS 0263)

To prevent claims denials, the providers above should continue to use their NYS Medicaid provider ID and locator codes to bill but should not include their NPI on claims.

Questions about Medicaid billing should be directed to the eMedNY Call Center at 1-800-343-9000.

033-12:51:35 AM

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