Medicaid Provider Number
LHCSA – DOH – MLTC
LHCSA Medicaid Provider Number
Contractual Requirements for MLTC
Medicaid Provider Number – Notice of Regulatory Change: As of January 1st 2018, the NYS Department of Health (DOH) now requires all Licensed Home Care Services Agencies (LHCSAs) to have a Medicaid Provider Number in order to contract with Managed Long Term Care (MLTC) programs. You may have received a notification about this mandate directly from your MLTC Provider Relations Credentialing Team. It should not be ignored – as it reflects new New York State LHCSA Medicaid Enrollment Requirements for MLTC contracting.
Only LHCSA operators who have submitted a New York State Medicaid Enrollment Form through “emednyc” by the approaching DOH deadline will be considered for a NYS Medicaid Provider Number. Failure to meet the enrollment deadline will result in your LHCSA being out of compliance with the DOH statute — and you will be subject to the contract termination protocols of your MLTCs.
NYS Medicaid Enrollment Form
“EMEDNYC” Return Rates
Historically, the DOH has a high return rate for the New York State Medicaid Enrollment Form, with 80% of forms being returned as inadequate on the first submission, 60% of forms being returned on the second submission, and 20% of forms being returned on the third.
ATTN: LHCSAs WITH MLTC CONTRACTS
Condor Can Get You Enrolled On-Time
Please consider Condor Healthcare Consultants before attempting to submit the LHCSA Medicaid Enrollment yourself. Our expert team has vast experience in the New York State healthcare arena. We can ensure that your forms are completed accurately and will handle any required resubmissions – all for one low price.
Save time, money and effort by
contacting Condor Healthcare Consultants today and allowing us to facilitate your New York State Medicaid Enrollment quickly, efficiently, and successfully. Our expert consultants are standing by now.
Contact Condor today. Call 212-858-9920 or use the contact form below.
