Pursuant to section 1135(b)(1)(B) of the Social Security Act, the Centers for Medicare and Medicaid Service approved New York's request to temporarily cease revalidation of Medicaid providers who are in New York or are otherwise directly impacted by the COVID-19 emergency.
As a result, the New York State Medicaid Program has made the following changes to Provider Enrollment, which remain in effect during the emergency:
Medicaid enrolled providers are due to revalidate every 5 years from either the enrollment effective date as specified in their Medicaid Welcome Letter or the Last Date revalidation was completed as indicated in their Successful Completion of Revalidation Letter.
Ensure You Are Familiar With Your Provider File (Specialty Codes, Service Addresses, Group Affiliations, and Rate Report for Institutional Billing Providers Only. Click Here for these reports
Navigate to your enrollment page by clicking on the appropriate provider link on the Provider Index page
Click on your Provider Type and Complete the Enrollment Form
Complete any additional requirements needed as specified in the "Requirements & Additional Forms" drop down menu.
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After submission of the revalidation application and additional required documents, continue to bill as normal. You will not receive a written notice that the revalidation packet was received.
eMedNY does not send any correspondence once a revalidation has been queued for review by the Bureau. There are no timeframes associated with the processing of revalidation applications. Continue to bill NY Medicaid as normal.
If reviewers require additional information for the processing of your Revalidation, the Bureau of Provider Enrollment will correspond with you directly by mail or by the applicant's e-mail address found on the application form. The Bureau of Provider Enrollment cannot e-mail the corporate email address.
When the submitted revalidation is approved by the Bureau of Provider Enrollment, a "Successful Revalidation" letter will be sent to the address on the application.
The next time you must revalidate is five years from the date on this letter.
Federal regulations require that your enrollment be terminated. This means that you will no longer be eligible to order/refer/ prescribe services and payment for services you render will no longer be available.
You may continue to submit claims. There is nothing more you need to do. DOH will contact you if they need more information.
In response to the COVID-19 pandemic, the Department is making every attempt to process enrollment applications as expeditiously as possible while balancing the health and safety of our employees. We ask for your patience as we work through them.
If you have any questions about your enrollment, please contact the eMedNY call center at 800.343.9000. If your inquiry relates to a COVID-19 enrollment or maintenance issue, please send an e-mail to email@example.com with "COVID-19 Enrollment" in the subject line. Please include pertinent information (i.e., provider name, NPI, if applicable) and/or Enrollment Tracking Number, if known.
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