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Provider Enrollment Requirement - UPDATE

7/9/2012 4:35:00 PM

See email here.

 

Hey everyone,

I’ve received some clarification from CSC regarding the requirement for the referring, ordering, and/or attending provider to be enrolled in Medicaid – if the service requires a referring, ordering and/or attending provider on the claim, then the provider must be enrolled in Medicaid.  If, however, the service does NOT require a referring, ordering and/or attending provider on the claim (for example, ICF claims) then you do not have to include one.   

Basically, what DOH is saying is that anytime you have a referring, ordering and/or attending provider on a claim they must be enrolled in Medicaid.

 

Sorry for the confusion.  If you have any questions, let me know.

D

 

 

 

Deb Williams

Vice President

Reimbursement & Regulatory Compliance

CP of NYS

90 State Street, Suite 929

Albany, NY   12207

(518) 436-0178

[email protected]

 

Sent by Deb Williams

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