New Provider Enrollment and Screening Regulations

On March 25, 2011, new Federal Rules and Regulations surrounding provider screening and enrollment took effect. Outlined below are some of the changes: • All ordering or referring physicians or other professionals providing services under the state plan or under a waiver of the plan must be enrolled as participating providers. • Additional screening may be required for your provider type. To ensure compliance with the new Federal Rules and Regulations, please complete the most current version of the enrollment application. • Some provider types may require an application fee. This information will be contained in the specific enrollment applications. • Revalidation of enrollment of all providers will occur at least every five years. Source: NY State Medicaid Update April 2011 VOLUME 27 – NUMBER 5