NY Medicaid  
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Email Change Request for PSP, Wage Parity, and EVV

Please fill out the form below to change your email address on file either for the New York State Medicaid Provider Services Portal (PSP), Wage Parity, or Electronic Visit Verification (EVV).


Select the application you'd like to change the email for:


Name:
Email:
Phone Number:
NPI:    (If exempt, enter "EXEMPT" in field)
MMIS ID
(only if NPI exempt)


ReCaptcha:







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