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Provider Enrollment > Therapist (PT, OT, Speech)

Provider Enrollment




Option 1

Therapist (PT, OT, Speech)- Individual Billing Medicaid

If you Do/Will Provide Medical Services and Bill Medicaid Click here for the Enrollment Form and Instructions.


Please Note: If you only will Order/Prescribe/Refer/Attend see Option 2 Below
Option 2

Therapist (PT, OT, Speech) - Order/Prescribe/Refer/Attend ONLY

If you ONLY will Order/Prescribe/Refer/Attend 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 3

Therapist (PT, OT, Speech) - 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.

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