Provider Enrollment > Certified Asthma Educator

Provider Enrollment

Option 1

Certified Asthma Educator - Individual Billing Medicaid

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

Please Note: If you only will Order/Prescribe/Refer/Attend see Option 3 below

Option 2

Certified Asthma Educator - Clinic

If employed by a clinic or hospital, click here for the Enrollment Form and Instructions.

Option 3

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.

If you Do/Will Provide Medical Services and Bill Medicaid, see Option 1 above

Option 4

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.