Demonstration Providers ...
To participate in the Portable X-Ray Demonstration Project which allows you to provide services to beneficiaries with NYS Medicaid coverage only.
NOTE: To provide services to beneficiaries with NYS Medicaid coverage only, complete Options 1 and 2.
Click here for the Enrollment Form and Instructions.
Freestanding Providers ...
Services provided to QMB's only (Qualified Medicare Beneficiaries). This service is NOT available to all Medicaid beneficiaries or individuals with Medicare Part B.
NOTE: To provide services to beneficiaries with NYS Medicaid coverage only, complete Options 1 and 2.
Click here for the Enrollment Form and Instructions.
