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Provider Enrollment > Optometrist (OPT)

Provider Enrollment




Option 1

Optometrist (OPT) — Individual Billing Medicaid

If you do/will bill fee-for-service (FFS) Medicaid, click here for the Enrollment Form and instructions.


Please note: If you will not be billing FFS Medicaid, select Option 2 below.
Option 2

Optometrist (OPT) — Non Billing - Ordering/Prescribing/Referring/Attending (OPRA) or Managed Care Network Provider

If you will NOT be billing fee-for service (FFS) Medicaid, click here for the Enrollment Form and instructions.


If you will bill FFS Medicaid, select Option 1 above
Option 3

Optometrist (OPT) Change From Non Billing (OPRA or Managed Care Network Provider) To Billing Provider

If you are already enrolled as a non-billing OPRA or managed care network provider and wish to bill fee-for-service Medicaid, click here for the Enrollment Form and instructions.

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