All Providers Must Revalidate Enrollment with State Medicaid Agencies Every Five Years to Ensure Payment of Claims

All Providers Must Revalidate Enrollment with State Medicaid Agencies Every Five Years to Ensure Payment of Claims

The New York State Department of Health has determined that many providers are at risk for not being paid for their services because the ordering/prescribing/referring (OPR) provider has not complied with a federal regulation which requires state Medicaid agencies to revalidate enrollment of all providers every five years.    

Because this has the potential to result in a significant number of non-payable claims for you and your facility, we urge you to reach out and encourage your OPR providers to revalidate their enrollment. Please remember to confirm that your OPR provider is enrolled before rendering service on the eMedNY site. 

For more information please visit Ordering/Prescribing/Referring (OPR) Providers Notice