Medicaid Provider Revalidation Required to Participate

Date Issued: 11/5/2018

The Affordable Care Act mandates that all billing and non-billing Medicaid providers must revalidate their enrollment in the program every five years.

If you haven’t responded to The Bureau of Provider Enrollment’s initial letter they sent you and you wish to remain enrolled in NYS Medicaid, look for the letter and follow the instructions to revalidate.

Providers who don’t respond will receive a termination letter and will not be able to participate in Medicaid Managed Care (MMC) and the Children’s Health Insurance Program (CHIP). They will also be unable to bill for fee-for-service Medicaid.

For more information, visit https://www.eMedNY.org, call 800-343-9000, or email providerenrollment@health.ny.gov.