Provider Enrollment Application Checklist: Individual Practitioner ... ODJFS Medicaid Web Portal Provider Enrollment Checklists 3 General Instructions 1. Review the table of contents to locate the page containing the checklist that pertains to your provider enrollment type. Complete an IHCP Provider Enrollment Application Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information. The federal Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals and entities from participation in Medicare, Medicaid and other federal health care programs.
(See OAC 5160-1-17.8 – formerly OAC 5101:3-1-17.8 for additional information about provider screening requirements). #N#This is the menu page for Provider Enrollment. Provider Enrollment Checklists. Provider Enrollment FAQ (1.60mb pdf) Medicaid Enrollment Medicaid Expansion Prescribers. Check federal and state excluded providers lists . #N#These options, along with a description, are displayed below: #N#Online Enrollment. Follow these steps to apply to be an enrolled MHCP provider: 1. Enrollment Process. The documentation regarding this supervision must reflect the content of the training and/or clinical guidance; and c. 8:00PM - 12:00AM. The IHCP provider enrollment instructions and processes are outlined on these web pages. The Centers for Medicare & Medicaid Services (CMS) is dedicated to keeping current with federal regulations and Medicaid priorities and will continue to publish updated versions of the Medicaid Eligibility and Enrollment Toolkit (MEET) to reflect key changes. It contains the various options for enrolling as Wyoming Medicaid Providers. 2. Provider Enrollment Checklist for Behavioral Health Direct Service Provider Updated 07/15/2019 Provider Enrollment Checklist pv 11/30/2018 Page 3 of 4 Provider Type 14: Qualified Mental Health Associate (QMHA), Specialty 301 b. If your provider type is not in the list below, please contact the Provider Enrollment Unit at (877) 638-3472 for requirements. Federal and state laws require some providers to have pre- and post-enrollment on-site screening visits to ensure program integrity. Use the following resources to submit both the online and documentation portions of your application. Enroll as a Provider via the Web. The documentation portion cannot be attached to the online application, so you must submit them to North Dakota Medicaid by email or fax. To see which documents must be submitted with your Provider Enrollment Packet, click the name of your provider type (s) in the list below.