Provider Enrollment

Certified Asthma Educator - Individual Billing Medicaid

If employed by a Physician or Group Practice, click here for the Enrollment Form and Instructions.

Certified Asthma Educator - Order/Prescribe/Refer/Attend ONLY

If employed by a Physician or Group Practice and you will NOT be Billing Medicaid, click here for the Enrollment Form and Instructions.

Certified Asthma Educator - Change From OPRA To Billing Provider

If you are already enrolled as an Order/Prescribe/Refer/Attend (OPRA) Provider and wish to provide Medicaid Services and Bill Medicaid, Click here for the Enrollment Form and Instructions.

Certified Asthma Educator - Clinic

Clinics and Hospitals that wish to bill for Asthma Educator services must complete the Clinic Certification of Staff Certified as Asthma Educators