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Welcome New York Behavioral Health Providers 

21st Century Cures ACT

  • The 21st Century Cures Act (Cures Act) 114 P.L. 255 requires all States to screen and enroll all Medicaid providers, both those in Medicaid fee-for-service (FFS) and managed care organizations (MCOs). Medicaid managed care network providers, regardless of specialty, are required to be screened by and enrolled with the State Medicaid Agency. Federal laws enforced by CMS, including the Affordable Care Act and the 21st Century Cures Act, require states to screen and enroll all providers. Providers who do not comply with this requirement risk being removed from the New York Medicaid managed care network.
  • Beginning September 1, 2022 providers who are not enrolled in NY Medicaid will no longer be eligible for payment of claims. The Medicaid provider enrollment process is to ensure appropriate and consistent screening of providers and improve program integrity. In order to enroll, you will need to go to Provider Index and navigate to your provider type to print and review the instructions and enrollment form. Here, you will also find a Provider Enrollment Guide and How Do I Do It? resource guide.  FAQ Guide eMedNY.org

New York Medicaid
Provider Resources

Adult 

General Information
Medicaid Disclosure Forms

FRD Person Disclosure Form

Provider Entity Roster Form

 Provider Entity Roster Form Addendum

Provider Entity Disclosure of Ownership, Controlling Interest and  Management Statement Form

Disclosure of Ownership Form  Overview and Frequently Asked Questions

 

Provider Notifications
Provider Training Materials
Quality Improvement

NY Medicaid Audit Tools

Clinical Information

Prior Authorization and Notification (PAAN)

Medicaid Disclosure Forms


Disclosure Provider Form - Individual
Discolsure Provider Form - Entity
Disclosure Provider Form  - Roster Template
Disclosure Provider Form - Roster Template Addendum
Disclosure of Ownership Form  FAQs

NY Archives

 

COVID-19- Guidance Udpates

Newsletter Archives


New York Medicaid
Provider Resources

Children Under 21

General Information
Quality Improvement

NY Medicaid Audit Tools

Provider Notifications
Provider Training
 

 

UHC ON Air Provider Training & Information

Clinical Information
29i Health Care Facilities/VFCA Resources

 

Quick Reference Guide

 

Transmittal Form

 

Provider Training

 

Provider Notifications

 

Claims Testing Resources

 

Evidence Based Practice Guidelines

Behavioral Health Essential Providers Resources – Foster Care

New York Medicaid Advantage Plus (MAP) Dual Complete One

Provider Training Materials

New York Child Health Plus

Provider Training Materials
Provider Notifications

General information and notifications

Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.