1     1 Access the Provider Services Portal (PSP)

To access the PSP, all NYS Medicaid providers and PSP users must have either:

• A Health Commerce System (HCS) account - If you already have an HCS account, please click on https://hcs.nysproviderportal.health.ny.gov to access the PSP. If you previously claimed your provider file with an ny.gov account but now wish to use an HCS account to access the PSP, you will need to add your HCS account to the provider's domain - see PSP - Managing Domain Administrators for more information. Or,
• NY.Gov Business Account If you already have an NY.gov business account, please click on https://www.nysproviderportal.health.ny.gov to access the PSP.

If multi-factor authentication (MFA) has not been set up, you will be prompted to set it up before accessing the PSP for the first time.

If you do not have an HCS account or an NY.gov business account, you will need to create one to access the PSP. Please click on tab "2A HCS" or "2B NY.gov" above for the type of account you wish to create. Account creation includes an identity proofing step; however, documents submitted and photos taken during identity proofing will not be stored or retained.

2A     Health Commerce System (HCS) Account Creation

1. Information about who can create an HCS account and how to create one can be found in the Get Started link at HCS Information
   • NYS Licensed Medical Providers: can apply for an HCS account through a paperless application process using your NYS healthcare license. Licensed Medical Professionals start here.
   • Out-of-state healthcare professionals who do not have a NYS DMV driver license or a non-driver photo ID can still apply for an HCS medical professions account using the existing paper process which requires signatures and notarization, or such providers can create an NY.gov business account (see tab 2B above).
   • Unlicensed providers and credentialing staff who prepare applications can apply for an HCS account but will need the assistance of your organization's HCS coordinator. Unlicensed Professionals start here.

   If your organization does not have an HCS account or is unable to create an HCS account and, therefore, would not have an HCS coordinator, you must create an NY.gov business account. See tab 2B above.
   

2. Once your HCS account is created, you can access Quick Start Guides and other resources in the Help Center, as well as add the Provider Services Portal (PSP) app to your HCS dashboard.
3. If multi-factor authentication (MFA) is not set up, you will be prompted to set this up the first time you access the PSP.

2B     NY.Gov Business Account Creation

1. Click on the NY.gov login link at: https://my.ny.gov/LoginV4/login.xhtml
2. Follow the instructions to create an NY.gov business account. If you need assistance, please reference the NY.GOVID Account Creation Instructions.
3. During account creation, you will be required to authenticate your identity using the ID Proofing Wizard. Documents submitted and photos taken during this process will not be stored or retained.
4. Once your account has been created, click on https://www.nysproviderportal.health.ny.gov and enter your NY.gov business account login information.
5. You will be required to set up multi-factor authentication (MFA) the first time you access the PSP.

3     Start an Enrollment Application

1. Log into the PSP and select your profile.
2. From the Provider dropdown, select "New Enrollment."
3. Providers will be prompted to enter basic information about themselves and/or their organization, including contact information and identifiers required to create an application.
4. Click on "Generate Application."
5. The PSP will assign a unique Application ID. Always write down this ID so you can return within 45 days to complete or update the application, if needed, and/or track the application once submitted.

4     Complete the Enrollment Application

You will be prompted for detailed information such as 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 within 45 days for modification or completion as long as the application status is "In Process." After 45 days, the application is deleted from the PSP, and you must begin the application process again.

Once all required information has been entered and documentation has been uploaded:

• Review the application for accuracy.
• Submit the application for State review.
• The provider must log in using their own HCS account or NY.gov business account, review the application, and click Submit. If the application is submitted by anyone other than the provider (or, in the case of an organizational provider, by anyone other than an owner or duly authorized representative who is disclosed on the enrollment file or application), it will be returned.

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.

5     Review of an Enrollment Application and Determination of Enrollment:

Once an application is submitted and in review:

• All information will be verified for accuracy and completeness.
• Eligibility and compliance with Medicaid program requirements will be confirmed.
• Notifications will be sent to the provider as applicable, e.g., rejected and returned application; request for additional information, documents, or corrections (respond promptly to avoid delays in processing or withdrawal of the application after 45 days)
• An application’s progress can be monitored in the PSP using the Application ID.

When review of the application is complete,

• Notification of the status is sent to the email address on the file.
• The system updates the provider’s status to “Active” (provider can participate in the NYS Medicaid program) or "Denied," as applicable.
• The provider will receive the determination in writing, including the effective date of enrollment, if approved.