Provider Enrollment > Medicaid Managed Care Network Provider Enrollment

Medicaid Managed Care Network Provider Enrollment


The 21st Century Cures Act requires all Medicaid Managed Care and Children's Health Insurance Program network providers to be enrolled with State Medicaid programs no later than January 1, 2018.

If you received a letter from your Managed Care Organization stating that you have been identified as a provider who is not actively enrolled with the NYS Medicaid program and are providing services to their Medicaid eligible members, you must enroll or you will be removed from their Medicaid Managed Care provider network.

The Medicaid provider enrollment process is to ensure appropriate and consistent screening of providers and improve program integrity. In order to enroll, you will need to go to Provider Index and navigate to your provider type to print and review the instructions and enrollment form. Here, you will also find a Provider Enrollment Guide and How Do I Do It? resource guide. The Useful Links below includes, FAQs, and additional information related to the Medicaid Managed Care(MMC) network provider enrollment in New York State Medicaid.

Important: Your application must be received by CSRA, the Medicaid fiscal agent, by December 1, 2017. If you have questions during the NYS Medicaid Enrollment process, please contact CSRA's eMedNY Call Center at (800) 343-9000.

Useful Links

The following data sets will be updated bi-weekly, on approximately the 1st and 15th of the month.

The Medicaid FFS provider data set is now public on Health Data NY (see link below). This data set provides a listing of providers enrolled in FFS Medicaid. Managed Care Organizations (MCOs) can download this data set and use it to determine which providers are enrolled in FFS Medicaid.

Link to data set:

The following Medicaid FFS Pending Provider Listing reflects providers who have submitted an application to NYS, but a decision has not been made and they are not enrolled. Managed Care Organizations (MCO's) can review this data set to determine which providers have submitted applications but are not yet enrolled in FFS Medicaid.