Provider Enrollment

Enrollment News and Updates

ATTENTION: The Provider Web Portal will limit the number of open/outstanding provider enrollment updates per unique service location as follows: • One (1) open Provider Maintenance or Revalidation update and • One (1) open Electronic Funds Transfer (EFT) update Refer to the examples below: • If the service location has previously submitted an EFT enrollment application and the application is still under review, the location will be unable to submit another EFT enrollment application. • If the service location has previously submitted a provider maintenance request and the request is still under review, the location will be unable to submit another provider maintenance request or a revalidation application. Refer to the Provider Maintenance Quick Guide, Provider Maintenance – License Update Quick Guide, Provider Maintenance – Adding an NPI Quick Guide, and Provider Maintenance – Hospital Providers Adding an NPI Quick Guide available on the Quick Guides and Webinars web page for more information. Contact the Provider Services Call Center at 1-844-235-2387 with questions.

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Enrollment Resources

 

Need to speak to a live agent for help with your enrollment? Please call the Provider Services Call Center at 1-844-235-2387, then select option 2 and then option 5.

 

 

 

 
 

All providers, medical or nonmedical, who are enrolled with and bill Medicaid for services under the state plan or a waiver must be screened under this rule by enrolling. In addition, providers that provide services through Managed Care Organizations (MCOs), including Child Health Plans Plus (CHP+) and Regional Accountable Entities (RAEs), need to enroll as well. This is necessary because the validity and currency of all provider licenses to perform any service must be screened.

Federal regulations established by the Centers for Medicare and Medicaid Services (CMS) require enhanced screening for all existing (and newly enrolling) providers. These regulations are designed to increase compliance and quality of care, and to reduce fraud.