1     Create NY.gov Business Account and Obtain PSP Access

All NYS Medicaid providers and PSP users must have a NY.gov business account to access the PSP.  Account creation and the associated identity proofing process only need to be done once and can be done from a desktop, laptop, tablet, or phone.

1. Click on the login link: https://my.ny.gov/LoginV4/login.xhtml
2. Create an NY.GOV business account (NY.GOVID Account Creation Instructions)
3. Click on the login link: https://www.nysproviderportal.health.ny.gov to access the PSP.
4. Set up Multi-Factor Authentication (MFA)
5. Authenticate ID through the ID Proofing Wizard
   • Documents submitted and photos taken during the identity proofing process will not be stored or retained

2     Start an Enrollment Application

Providers will enter basic information about themselves and/or their organization, including contact information and identifiers required to create an application.

The system will assign a unique Application ID (IMPORTANT, always write down this ID). With this ID providers can:

• track the status of an application, and
• return later to complete or update the application (if it has not yet been submitted).

3     Complete the Enrollment Application

Detailed information will be requested related to provider type, services offered, billing status, affiliations, and compliance with Medicaid program requirements.

• Each field is identified as mandatory or optional.
• Incomplete applications can be saved at any time and returned to later for modification or completion as long as the application status is "In Process."
• Providers can upload required documentation, such as licenses, certifications, or other required documents.

* Applications started but not submitted within 45 days will be deleted. If deleted, you must begin the application process again.

Once all required information has been entered and documentation has been uploaded, the application should be:

• reviewed for accuracy, and
• submitted to the State for review.
• NOTE: The provider will be required to log in via their own unique NY.gov business account and have to review their application and click the submit button.

After submission:

• the application status changes to "In Review," and
• changes can no longer be made unless you receive a request for updates or corrections.

4     Review of an Enrollment Application and Determination of Enrollment:

Once an application is submitted and under review

• all information will be verified for accuracy and completeness,
• eligibility and compliance with Medicaid program requirements will be confirmed, and
• notifications will be sent to the provider as applicable (e.g., rejected and returned application, request for additional information, documents or corrections), and**
• an application's progress can be monitored in the system using the Application ID.

** If you receive a notification, respond promptly to avoid delays in processing or withdrawal of the application (after 45 days). If withdrawn, you must begin the application process again.

When review of the application is complete,

• the application status is updated in the system and a notification is sent by e-mail;
• the system updates the provider’s status to "Active," (provider can begin participating in the NYS Medicaid program) or "Denied," as applicable; and
• the provider will receive a determination in writing that includes the effective date of enrollment if approved.