Texas medicaid provider enrollment application ordering and referring providers only

Inpatient only providers who are employed by an institution must also have an enrollment record in order to prescribe Part D drugs. Though these applications will continue to be processed, a gap in enrollment If you have any questions or problems regarding your NPI, contact Provider Enrollment at (501) 376-2211 (for local or out-of-state calls) or at (800) 457-4454 (toll free). For more information, please refer to MLN Matters article #SE1305, “Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims (Change Requests 6417, 6421, 6696, and 6856)” below. Please contact a Texas Health Steps Provider Relations Representative for additional information. The partnership between Ohio Medicaid and its provider network is critical in ensuring reliable and timely care for beneficiaries across the state. 410 requires all ordering, referring or prescribing providers to be enrolled as participating providers Providers including, but not limited to, ordering and referring providers, will be dis-enrolled from Texas Medicaid with an effective date of September 25, 2016 if the application is received after June 17, 2016, and a final determination on the application is pending. These forms have been updated to a format that allows them to be completed, downloaded and saved electronically. These are providers who need to refer or order services for Medicaid clients, but do not bill the Texas Medicaid Program. Providers who are not eligible for an NPI will continue to use their Arkansas Medicaid provider ID as always. Withdrawing from Medicaid/CSHCN as a billing/performing provider to enroll as an ordering/referring provider only. However, our revalidation of the enrollment records in PECOS or a Medicare legacy system has allowed us to alert these providers that they do not have an enrollment record. An Overview – Updated September 26, 2013 . 1. Ordering, Referring, and Prescribing Providers FAQs 5) Are interns or medical residents required to enroll as ordering, referring or prescribing providers? – No, interns or medical residents aren’t required to enroll in Texas Medicaid. ” For Texas Medicaid, this means all providers, including ordering and referring providers, who have not met all PPACA revalidation requirements must do so through re-enrollment by September 24, 2016. 470-5170 Medicare enrollment is a prerequisite for Medicaid participation, providers will need to request a Medicare waiver for each new enrollment, or request to opt out of the Medicare enrollment requirement at the time of revalidation. Lease only required to validate exclusive use of facility for PT/OT or . Health Home Provider Location and Practitioner Lists: 470-5156. If your NPI will be listed in a Rendering, Attending, or Treating field on a claim, and you will NOT be listed as the Pay To Provider, this is the application you will use. If your private provider is ordering, referring, or prescribing Medicaid services, they should visit the following links: Information for Ordering and Referring-Only providers; Enroll Online; Paper Application Alerts. Ordering/Referring Provider Enrollment Application. Ordering and referring-only providers must complete the Texas Medicaid Provider Medicaid clients, TMHP has developed an abbreviated enrollment application titled “Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only. • Ordering and referring-only providers are not required to pay the application fee to complete the ordering and referring-only enrollment process. • Implementation of a temporary moratorium on new provider enrollments, when Welcome to the Connecticut Medical Assistance Program Provider Enrollment/Re-enrollment Wizard. "As we indicated in the final rule, Federal Register, Vol. This Wizard is available to providers newly enrolling in the program and those providers who are notified that it is time for re-enrollment into the program. (First Coast) is not only responsible for processing Medicare claims but also for processing enrollment applications for providers and suppliers located in Florida, Puerto Rico, and the U. Subjects covered in the FQA include • Risk Categories • Provider Screening • Application Fee • Re-enrollment • Surety Bonds Medicaid Provider Re-enrollment Ordering, Referring – Texas Health … hhs. Click the available hyperlink 'Provider Enrollment User Guides' to access the appropriate guide for assistance submitting an enrollment application for review and approval to bill WV Medicaid. dmas. Completing an initial provider enrollment application can often be described as the “ground floor” in terms of healthcare providers. As a provider that has not previously enrolled as a Medicaid provider with the Department of Medicaid … This page contains all of the information and forms you will need to become a Nevada Medicaid provider. National Provider Identifier (NPI) 4. Texas). On September 16, Texas Medicaid & Healthcare Partnership (TMHP) will offer a live training webinar designed to help hospital providers re-enroll in Texas Medicaid. B. Though these applications will continue to be processed, a gap in enrollment Including the NPI on claims and enrollment applications is an important step in controlling fraud and abuse, ensuring a unique identifier so that States can assure that only qualified Medicaid providers have provider agreements and maintain their Medicaid billing privileges. Social Security Number 6. PROVIDER ENROLLMENT APPLICATION FEES . enrollment This application is not intended for providers who will provide services to the general DC Medicaid population. Medicaid Provider. Providers including, but not limited to, ordering and referring providers, will be dis-enrolled from Texas Medicaid with an effective date of September 25, 2016 if the application is received after June 17, 2016, and a final determination on the application is pending. The $100 application fee Effective June 7, 2010, Idaho Medicaid contracted with DXC Technology, formally known as Molina Medicaid Solutions to be the MMIS claims processing center as well as provide provider training, billing, and operational support for all Medicaid providers. Ordering, Prescribing, or Referring Providers. To access a provider enrollment application, providers must be a registered trading partner on the Health PAS-OnLine web portal. - There is NO application hold for Phase 2 providers; however, MDH may return some applications received just prior to go-live with instructions for completing enrollment in ePREP. Enter the NPI for the … An Update on the Medicaid Primary Care Payment Increase – macpac. HCBS Waiver Provider Enrollment Application. Dentists prescribing potentially covered medications should enroll as an ordering For participating Amerigroup health care providers or Texas Medicaid Re-Enrollment Reminder Facility/Ancillary/Long-Term Care Provider Application: Texas implementation of Medicaid provider screening and enrollment requirements of Section 6401 of the Affordable Care Act (ACA) and issued in policy bulletin MSA 12-55 on November 1, 2012. Traditionally, most providers have enrolled in the Georgia Medicaid program to furnish covered services to Medicaid beneficiaries and to submit claims for such services. - These final provider types represent approximately 20 percent of Medicaid enrolled providers. If you have any questions, please contact the Provider Enrollment Unit at (877) 638-3472 from 8a. The Nonbilling applications are for providers who are providing services to Apple Health (Medicaid) clients under a Managed Care Entity or Behavioral Health Organization (not under the fee-for-service Apple Health program) -or- providers enrolling for the sole purpose of becoming an ordering, referring, prescribing provider. * Texas Medicaid Provider Enrollment Application 2019. During your site visit, the PCG representatives will review various aspects of your business. Effective January 2013: Ordering- and Referring-Only Providers Must Enroll in Texas Medicaid. These providers do not submit claims for reimbursement for any services provided but are required to enroll solely for the purposes of ordering and referring services for Medicaid beneficiaries. Effective 12/1/2015, access Online Provider Enrollment for individual, group or OPR enrollments. 602 states that Medicaid managed care providers who order, refer, or render covered services must fully enroll as a “billing” provider with the state Medicaid agency by January 1, 2018, to receive payments from managed care plans. – For providers whose only relationship with Texas Medicaid is to order or refer services for Texas Medicaid clients, TMHP has developed an abbreviated enrollment application titled “Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only. m. PDF download: Virginia Medicaid Web Portal Provider Enrollment Frequently Asked … Apr 17, 2014 … www. •Providers who currently render services to CHIP members through a MCO must enroll with TMHP by December 31, 2017. Level of Care Certification for Swing Bed Facility 470-5160. Q: What are the Ordering/Prescribing/Referring Medicaid provider enrollment requirements as a result of the Affordable Care Act (ACA)? A: Sections 6401 and 6501 of the Affordable Care Act mandate that ordering/prescribing/referring providers might have about changes to Texas Medicaid enrollment. C. Enrollment application fees are required from all institutional providers, as defined by the Centers for Medicare These units provide coordination of provider enrollment functions, provider data maintenance, outreach, education, and issue resolution to providers, the Medicaid managed care plans, the Medicaid Regional Offices, and program operating partners at the Department of Health and the Agency for Persons with Disabilities. As a provider that has not previously enrolled as a Medicaid provider with the Department of Medicaid … * Texas Medicaid Provider Enrollment Application 2019. Thank you to all providers and credentialers that joined DXC Technology for the Provider Enrollment Application Enhancements presentation at the 2019 Idaho Health Care Conference. . ” This shortened application allows providers to enroll as an ordering or referring provider without participating as a rendering or billing provider within the state ordering or referring services for a Medicaid beneficiary in a risk-based managed care plan, the provider enrollment requirements are not applicable to that ordering or referring physician. Third party, Estate Recovery, Liens and Medicare Buy-in Personally identifiable information about Medicaid providers, persons with ownership or control interest in the provider, managing employees, agents, or other provider personnel is only used for purposes directly related to Medicaid administration, such as determining the enrollment of providers and monitoring providers for waste, fraud, and abuse. ▫ Non-emergency ambulances and ambulance suppliers ( required every 5 years (includes ordering and referring. Effective immediately, providers who are currently required to have an NPI must supply this NPI number on the enrollment application. FAQ – Medicaid requirements for ordering, prescribing, and referring providers Effective for dates of service on and after July 1, 2012, the Apple Health (Medicaid) program administered by the Health Care Authority (HCA) will require any ordering, referring, or prescribing provider to enroll as participating providers with Medicaid. Medicaid Provider Re-enrollment Reference Guide – Texas … (underlined) to assist with the Texas Medicaid … re‑enrollment process, you must first set up … provider. On Jan. Texas Medicaid providers that receive referrals from non-participating physicians or other health care providers need to be aware that beginning January 1, 2013, individual providers who are not currently enrolled in Texas Medicaid and Thank you for visiting First Coast Service Options' Medicare provider website. PMES will allow Medicaid providers and providers participating in other state-funded programs (see list below) to submit an The new enrollment requirement for OPR providers does not include a requirement to see Medicaid patients or to be listed as a Medicaid provider for patient assignments or referrals. ” Texas Medicaid, this means all providers, including ordering and referring … providers should submit a re-enrollment application to the state or TMHP today. Due to the impact of Hurricane Harvey, and pending clarification from the Centers for Medicare & Medicaid Services, the Texas Health and Human Services Commission delayed implementing required enrollment of all ordering, referring or prescribing providers which initially was scheduled to happen in October. General Section. 470-5131. The Centers for Medicare & Medicaid . Indicates a required field Medicaid Provider Enrollment Required to Receive Payments from Managed Care Plans Federal Rule 42 CFR 438. Providers must have an active Medicaid provider number at the time services are rendered. IHCP reimbursement for services or medical supplies resulting from a practitioner's order, prescription, or referral requires the ordering, prescribing, or referring (OPR) provider to be enrolled with the IHCP. The Medicare enrollment applications/forms for suppliers and providers can be filled out using the computer and printed or printed and filled out by hand. Also effective immediately, only the applications found on this site can be used to enroll as a Louisiana Medicaid provider. Monday through Friday. However, providers will have to revalidate their enrollment periodically. On July 6, 2015, Nevada Medicaid completed updating all of the Nevada Medicaid forms that are available on this website. All If you are unable to apply online, the paper forms can be submitted by mail or by fax using the Provider Enrollment Coversheet. Additionally, federal regulation 42 CFR 455. Please use this page as a go-to resource for learning more about training, billing, rate-setting and additional areas interest concerning the provider community. All participating providers must be screened upon initial application, including applications for a participating providers. 76, dated February 2, 2011, to accommodate such charity care providers, States may establish a streamlined enrollment approach for providers whose only relationship with the Medicaid program is ordering and/or referring services. We’ll Effective February 26, 2018 a provider enrollment application will be available for Rendering Only Providers. Once complete, follow the link for the Provider Enrollment Application after logging in. care contracts to require network level providers enroll with the Medicaid agency as participating providers. Sep 1, 2017 Center for Medicare & Medicaid Services . New Medicaid Requirements for Ordering, Prescribing or Referring Providers . read on Getting Started With Enrollment Provider Home: Using the Provider Enrollment wizard, applicants are guided through the necessary steps to complete and submit an enrollment application to become a Medicaid provider. All enrolling providers are required to submit: A completed Mississippi Medicaid Enrollment Application; A completed Mississippi Medicaid Provider Disclosure Form Links to each of these search methods are found at the top of the Online Provider Lookup pages. Failure to supply the NPI will result in the application being rejected. •CHIP-only providers are not required to participate in Texas Medicaid. I. Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only  May 30, 2016 Texas Medicaid Program: Basic Information for Providers Those only enrolled to provide Texas Health Steps screening exams also do not webpage also includes an enrollment form for ordering and referring providers. gov. 13) Does this requirement apply to the Healthy Texas Women program? If final approval on an application received after June 17, 2016, is not completed by September 24, 2016, the provider will be disenrolled from Texas Medicaid. Iowa Medicaid Ordering/Referring Provider Enrollment Application. The FAQ also outlines in detail the risk categories and level of screening associate with each and also speaks to the application fee exceptions. Sep 17, 2017 application to enroll as an OPR provider only. tmhp. The Texas Health and Human Services Commission (HHSC) will be implementing a new online Provider Management and Enrollment System (PMES) to ease the administrative burdens of Medicaid enrollment and re-enrollment. requirement by provider/supplier type refer to the Application . “Texas Medicaid Provider Enrollment Application Ordering and Referring CMS has informed HHSC that only FFS and network providers that order, refer,. Z53 Ordering/Referring provider type invalid 183 N574 Z54 Ordering/Referring provider cannot be a group 183 N574 Q: Do out-of-state providers have to be enrolled into the DMS provider database? A: Yes, all providers will need to be enrolled with DMS. Maryland Medicaid's new electronic Provider Revalidation and Enrollment Portal (ePREP) is live! ePREP is the one-stop shop for provider enrollment, re-enrollment, revalidation, information updates and demographic changes. Claims may be submitted up to 365 days from the date the service was rendered. This can be done by completing paper form CMS-855I and mailing it to Texas’ Medicare Administrative Contractor (MAC), or, by CMS’ internet Medicare Provider Enrollment, Chain, and Ownership System (PECOS). Professional License Number 5. Medicaid claims must contain the NPI of the ordering, prescribing, For providers whose only relationship with Texas Medicaid is to order or refer services for Texas Provider Enrollment Application Ordering and Referring Providers Only. There is an abbreviated enrollment application available from the Texas Medicaid and Healthcare Partnership for those physicians whose only relationship with Texas Medicaid is to order or refer services to Medicaid clients. Enrollment as a Medicaid provider is a prerequisite for participation in any other state program administered by HHSC, and for participation in any Medicaid or Children's Health Insurance Program (CHIP) managed care pharmacy network. Pharmacies can only submit claims filled on or after the enrollment date. texas. Dec 11, 2014 … enrolling individual providers in Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only application is located on the TMHP website at www. Iowa Medicaid Integrated Health Home Provider Agreement General Terms. Changes include: additional screening may be required, all ordering and referring physicians or other professionals providing services under the State plan or under a waiver of the plan must be enrolled as participating providers, revalidation of enrollment of all providers at least every five (5) years, and an application fee may apply. Virgin Islands. virginiamedicaid. idmedicaid. , they have enrollment records in PECOS) Provider Enrollment and Screening Requirements (12/16/13) 4 • Institution of application enrollment fees for business organizations and entities that are enrolling with South Carolina Medicaid with an Employee Identification Number (EIN). Many questions were asked during our presentations, and in an effort to share the responses we have posted the questions and answers here. Services which are ordered, referred or prescribed by an intern or medical resident may use the National Iowa Medicaid Ordering/Referring Provider Enrollment Application Providers who order or refer items/services to Medicaid members are required to be enrolled in the Medicaid program. 470-5112. S. The. Iowa Medicaid. National Provider Identifier (NPI) – Complete this section only if you are a current Iowa. Medi-Cal Enrollment Requirements and Procedures for Applicants and Providers Currently Eligible to Use the Provider Application and Validation for Enrollment (PAVE) Medi-Cal Provider e-Form Application (e-Form) – On November 18, 2016, the Department of Health Care Services (DHCS) instituted a web-based Medi-Cal provider enrollment system Affordable Care Act (ACA) Requirements Frequently Asked Questions . Ordering/ referring-only providers cannot bill Texas Medicaid or the CSHCN Services Program for ordering/referring services. Medicaid Bulletin September 2017 6 Attention: All Providers M edicaid Required Enrollment Fees The N. Providers who order or refer items/services to Medicaid members are required to be enrolled … Iowa Medicaid Enterprise Provider Enrollment Application Fee. Jun 1, 2018 providers whose only relationship with Texas Medicaid is ordering or referring HHSC Medicaid Ordering or Referring Provider Agreement . e. Instead, the ACA requires OPR providers to enroll only to meet new ACA program integrity requirements All providers wishing to participate in the Idaho Medicaid Program must first register for a Trading Partner Account (TPA) at www. virginia. Provider Resources Provider Manuals Provider Links Provider Training Web Registration Automated Response System(ARS) Claims Direct Data Entry (DDE) Provider Maintenance Provider Enrollment Resources Search For Providers Provider Screening and Fee Rpt Level of Care Review Instrument(LOCERI) Providers with any of the following individual types may only have one application associated to a Social Security Number (SSN), even if they provide services in multiple locations: Billing Individual (BI); Individual within a Group (IWG); Ordering, Prescribing and Referring (OPR) providers. For log in or first time user registration, please go to the 'Login' section below. Designated Contact Person. Order and Referring - Order and Referring data file has National Provider Identifier (NPI) and legal name (last name, first name) of all physicians and non-physician practitioners who are of a type/specialty that is legally eligible to order and refer in the Medicare program and who have current enrollment records in Medicare (i. › Because ordering and referring providers do not bill Texas Medicaid for rendered services, they do not need to enroll in Medicaid as a billing provider. Medicaid and N. To learn more about Medicaid health plan providers visit the HHSC website. To be eligible for the streamlined enrollment process, the provider must: reported in Section 5 of the application. ” This shortened application allows providers to enroll as an ordering or The Medicare enrollment application (CMS-855) is an Office of Management and Budget approved form and is available in PDF format. Welcome: Welcome to the Mississippi Envision Web Portal. com. However, an attending provider in the absence of an ordering or referring provider may need to enroll as an ordering or referring provider in order to obtain Medicaid coverage for a claim. The following information will help you get started with your application. Anticipatory Guidance: A Guide for Providers. Benefit Coordination. This guide, designed specifically for Texas Health Steps providers, offers age-appropriate anticipatory guidance topics for children birth through 20 years of age. Date of Birth 7. Paper Medicare Enrollment Application (Form CMS-855O) Medicare Part B claims use the term “ordering/ certifying provider” (was “ordering/referring Medicare only allows Type 1 NPIs for solely. Individual providers who are not currently enrolled in Texas Medicaid and whose only Provider Enrollment Application Ordering and Referring Providers Only,  LTC-only Billing Medicaid Provider Enrollment services; Texas Vendor Drug Program; Medicaid managed care; Ordering- and referring-only providers. Provider Enrollment Application Instructions : Print out the Provider Enrollment Application and the Credentialing Requirements Checklist forms from the list of links given below. However, the Affordable Care Act (ACA) now requires physicians As the Medicare administrative contractor (MAC) for jurisdiction N (JN), First Coast Service Options Inc. Select “Register” in the upper right hand corner to complete the TPA registration. Ordering and Referring Providers are physicians or other professionals that only order or refer items or services for Medicaid beneficiaries. Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only application is located on the TMHP website at www. 1, 2018 managed care organizations will deny CHIP claims if the ordering and referring provider isn’t enrolled. The exemption for risk-based managed care meant that the requirement at 455. Option 2) Opt in as an ordering/referring provider. We’ll Medicaid claims must contain the NPI of the ordering, prescribing, or referring physician or other professional Physicians that order, prescribe, or refer for Medicaid residents must be enrolled in the Medicaid program and have an NPI number. This will help to complete your on-site visit smoothly. equipment providers, home and community-based waiver providers. • Ordering/referring-only providers need only to complete a short application designed for providers who order, refer or prescribe services to Texas Medicaid clients. Alerts. To ensure that these beneficiaries do not lose access to services, DHCF is establishing a streamlined enrollment process for providers whose only relationship with the Medicaid program is ordering and/or referring services. 11) Do the Medicaid provider numbers expire? The Medicaid enrollment will not be automatically terminated for non-billing. Effective January 1, 2018, we’ll validate the NPI is attested in Texas as a Medicaid or OPR provider. Complete applications that are received on or before June 17, 2016, will most likely complete the re-enrollment process by September 24, 2016. Reason for Application: Check one box. TMHP Provider Re-enrollment Webinar for Hospital Providers; TMHP PROVIDER RE-ENROLLMENT WEBINAR FOR HOSPITALS PROVIDERS. Enrollment application fees are required from all institutional providers, as defined by the Centers for Medicare implementation of Medicaid provider screening and enrollment requirements of Section 6401 of the Affordable Care Act (ACA) and issued in policy bulletin MSA 12-55 on November 1, 2012. By Carla Cox. The enrollment term only covers the date(s) of services stated on the submitted medical claim form(s). If you are in Managed Care, please go to your health plan’s provider list or call your health plan for more information. Maryland Medicaid launched a Call Center to coincide with ePREP’s go-live. Nevada Medicaid Forms Can Now Be Submitted Using the Provider Web Portal. 1, 2018. Generally, attending providers are not ordering or referring services, so they do not need to enroll. However, the Affordable Care Act (ACA) now Ordering,Prescribing or Referring Provider Enrollment Traditionally, most providers have enrolled in the Georgia Medicaid program to furnish covered services to Medicaid beneficiaries and to submit claims for such services. For providers whose only relationship with Texas Medicaid is to order or refer services for Texas Medicaid clients, TMHP has developed an abbreviated enrollment application titled “Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only. www. Oct 1, 2017 … the physician or other professional who ordered, referred or prescribed the items or services. macpac. ) –– The requirement for ordering and referring provider enrollment will apply to CHIP on Jan. com > Providers > Forms > Provider Enrollment – Applications. Please retain a copy for your records. 410(b) for the state Medicaid agency to ^require all ordering or referring physicians or other The Provider Enrollment webpage also includes an enrollment form for ordering and referring providers. Copy of the sales agreement for home and community-based waiver providers and nursing facilities; Enrollment application, with requirements, for the appropriate provider type with the ownership and control interest form completed (included as part of the enrollment application. •CHIP-only providers must indicate they intend to serve only CHIP members and ensure that they do not appear on the Medicaid online provider lookup (OPL Medicaid. As long as Medicare or Medicaid services are being rendered, providers will continuously be subject to provider enrollment rules and regulations. There are no fees to complete the process, and enrollment can be completed electronically or on paper. Providers including, but not limited to, ordering and referring providers, will be disenrolled from Texas Medicaid with an effective date of September 25, 2016 if the application is The form 855O is an abbreviated application for providers who desire an enrollment record for the sole purpose of ordering and referring for Medicare beneficiaries being treated. 12) Do out of state ordering/referring professionals need to be enrolled in NYS Medicaid? Texas Medicaid providers can find more information and enroll at the Texas Medicaid and Healthcare Partnership website. Failure to answer their questions and cooperate with the PCG representatives could affect your enrollment or current provider status with Ohio Medicaid. This exemption was expressly limited to risk -based managed care. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community. Licensee Name 3. to 5p. Type Code 2. Virginia Medicaid Provider Enrollment. Health Choice (NCHC) application fee is $100, which covers costs associated with processing enrollment applications. Providers who wish to enroll as Utah Medicaid providers must submit the following completed forms and documents. About the Ordering and Referring Files For providers whose only relationship with Texas Medicaid is to order or refer services for Texas Medicaid clients, TMHP has developed an abbreviated enrollment application titled “Texas Medicaid Provider Enrollment Application Ordering and Referring Providers Only. Such claims have not been denied or rejected due to the lack of the ordering or referring provider's enrollment record. Utah Medicaid Provider Agreement; Ownership Disclosure Definitions listed as Texas Medicaid providers in the Texas Medicaid provider directories. A Medicare waiver request must be submitted on company letterhead. Mar 10 Medicaid Reimbursements Cost Reports IMPACT Provider Enrollment Provider Handbooks Provider Notices Medical Forms Resources for Providers MEDI System Login ILLINOIS Rx Portal Preferred Drug Listing Vendor Payments Claims Processing System Issues Recipient Eligibility Verification Program Electronic Data Interchange (EDI) Medical Card Info The Provider Enrollment Online Application is a user-friendly web application that gathers all the information needed to enroll you or your organization as a licensed Medicaid provider in North Carolina. provider and you would like to order/refer services for Texas Medicaid clients. texas medicaid provider enrollment application ordering and referring providers only

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