Provider Enrollment

Enrollment information for Nurses (LPN/RN) who Order/Prescribe/Refer/Attend ONLY:

Complete this Enrollment Form if you are: O

Instructions
for those who ONLY
Order/Prescribe/Refer/Attend

Copyright ©2017 DOH. All Rights Reserved.

This website is provided as a service for providers and the general public, as part of the offerings of the electronic Medicaid system of New York State. You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid. The site is updated regularly to meet the ever-growing needs of the New York State provider community. If you need help finding what you're looking for, please visit our Site Map, use the search above, or you can contact us directly for assistance.

home
glossary
privacy policy
site map
self help
contact us

epaces login
exchange login
Web Portal