Provider Enrollment Transitioning to the New York State Medicaid Provider Services Portal

Providers must now use the New York State (NYS) Medicaid Provider Services Portal (PSP) to submit all enrollment transactions, e.g., applications for new enrollment, changes of ownership, maintenance, and more.

NYS Medicaid is modernizing the provider enrollment process through the new NYS Medicaid PSP. The NYS Medicaid PSP offers a secure, centralized online experience for submitting applications, tracking status updates, and managing enrollment records. Learn more by visiting the eMedNY "New York State Provider Services Portal" web page.

Providers are encouraged to refer to and share the NYS Medicaid PSP flyer for additional information.

Resources and Fact Sheets for Medicaid Stakeholders

Fact Sheets

Fact sheets provide important information for all Medicaid stakeholders on a variety of coverage and health related topics. Some fact sheets are designed specifically for consumers and available in a number of languages.

• New Health Insurance Option for Undocumented Immigrants Over 65 (PDF) | Spanish Version - December 2023
• Provider Fact Sheet on the Public Health Emergency Unwind
• Health Insurance Scam Alert Flyer (Available in Multiple Languages)
• Member Specific Educational Fact Sheets (Available in Multiple Languages)

COVID-19 Guidance

The COVID-19 Guidance for Medicaid Providers web page includes all COVID-19 related policy and billing guidance.

Frequently Asked Questions (FAQs) about NY Medicaid Benefits

New York State Medicaid Program Areas

For more information about a specific NYS Medicaid program area visit the program page by selecting from the links below.

• Adverse Childhood Experiences (ACEs)
  New York State Medicaid encourages providers to screen for Adverse Childhood Experiences (ACEs) in patients. ACEs are categorized as abuse, neglect, and household challenges experienced during childhood. Screening for ACEs with evidence-based tools helps clinical teams move toward prevention and also identify individuals at high risk who may benefit from additional assessment and interventions.
• Career Pathways Training (CPT) Program
  The Career Pathways Training (CPT) Program is an education and training program that was authorized under New York’s 1115 Demonstration Waiver, and is designed to create a reliable workforce pipeline to address workforce shortages by funding education and training for health, behavioral health and social care workers throughout New York State.
• Dental Benefits
  New York State Medicaid offers an extensive dental plan for Medicaid members, through the New York State Fee-for-Service program or through a Medicaid Managed Care plan.
• Doula Services Benefit
  The New York State enacted 2023-24 Executive Budget includes expanded Medicaid coverage of preventative care, including coverage and higher reimbursement for doulas. Learn more about the NYS Medicaid Doula Services Benefit.
• Family Planning Benefit Program (FPBP)
  The FPBP is a public health insurance program for New Yorkers who need family planning services, but may not be able to afford them.
• Integrated Care for Dual Eligible New Yorkers (DUALS)
  Dual-eligible beneficiaries (Medicare "dual-eligibles" or "duals") refers to those who qualify for both Medicare and Medicaid benefits.
• Medicaid Finance and Rate Setting
  The Division of Finance and Rate Setting (DFRS) is within the Office of Health Insurance Programs and responsible for all functions related to Medicaid rate setting, including Medicaid managed care premium development. This division has full oversight of the Medicaid budget and is the liaison with the Division of the Budget and managing the Medicaid Global Spending Cap.
• Medicaid Health Homes
  A ´Health Home´ is not a physical place; it is a group of health care and service providers working together to make sure you get the care and services you need to stay healthy. Once you are enrolled in a Health Home, you will have a care manager that works with you to develop a care plan that maps out the services you need, to put you on the road to better health.
• Medicaid Managed Care
  Managed Care is a term used to describe a health insurance plan or health care system that coordinates your health care. In general, when you enroll in a managed care plan, you select a regular doctor, called a primary care practitioner (PCP), who will be responsible for coordinating your health care.
• Medicaid Drug Program
  The New York State Medicaid Drug Program covers medically necessary FDA approved prescription and non-prescription drugs for Medicaid fee-for-service and Medicaid Managed Care enrollees.
• Medicaid and Medicare Part D
  Medicare Part D is a prescription drug benefit available to everyone with Medicare.
• NYS Medicaid Telehealth Information
  Telehealth is defined as the use of electronic information and communication technologies to deliver health care to patients at a distance. Medicaid covered services provided via telehealth include assessment, diagnosis, consultation, treatment, education, care management and/or self-management of a Medicaid member.
• Social Care Networks (SCNs)
  This program establishes regionally based Social Care Networks (SCNs) to increase and strengthen the delivery of social care services to Medicaid members including physical and behavioral health services, food and housing security support services, and transportation services.

Provider-Specific Programs, Policy, and Committee Groups

• Medicaid Guidance to New York State Planned Parenthood Providers and Payors
• New York State Medicaid State-Directed Quality Incentive Program to Reduce Low-Risk Cesarean Delivery Rates
• NY Medicaid EHR Incentive Program Through the NY Medicaid EHR Incentive Program, eligible professionals (EPs) and eligible hospitals (EHs) in New York who adopted, implemented, or upgraded certified EHR technology (CEHRT), and subsequently became meaningful users of CEHRT, could qualify for and receive financial incentives.
• eMedNY
  The eMedNY website is for provider resource with helpful manuals and reference material related to offerings of the electronic Medicaid system of New York State. The site is updated regularly to meet the ever-growing needs of the State provider community.
• Medicaid Administrative Law Judges (ALJ) Decisions
  This web page contains decisions by the New York State Department of Health (DOH) Administrative Law Judges (ALJ) in cases seeking recovery of overpayments from providers under the Medical Assistance Program (Medicaid).
• Supplemental Payment to Ambulance Providers
  The 2015-16 enacted New York State budget requires the Department of Health to make annual supplemental payments on a quarterly basis to ambulance providers who received a reimbursement for emergency transportation from the Medicaid Program during each quarter of each State Fiscal Year (SFY).
• Medicaid Disability Manual
  The Medicaid Disability Manual is the official policy guide for disability determinations for the Medicaid program in New York State.
• Traumatic Brain Injury Program Manual
• Long Term Home Health Care Program Manual
  A reference guide for LDSS staff and Long Term Home Health Care Program (LTHHCP) providers.
• HIPAA Information Center
  Information related to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).