Provider help documentation

This is documentation for health care providers using the Provider Screening Module.

Do I count as a provider?

Providers are:

  • people and organizations that render health care services
  • group practices that furnish health care supplies to patients
  • in some cases, other people or organizations who are eligible to be reimbursed through Medicaid for providing certain services

Providers can be sole proprietorships or incorporated practices.

How do I change my name in this system? Can I update it in one place for all my enrollments?

If an enrollment is a draft (you haven’t submitted it yet), then yes, you can click on the draft enrollment and edit your name. If you have already submitted the enrollment, then it is not possible to edit your name as associated with that enrollment; you’ll need to contact the state Medicaid office directly.

Currently it is not possible for you to change your name for your account; you will need to contact a system administrator at your state Medicaid office to do this.

A future version of the PSM will allow you to change your name in the system.

How do I update my contact information for an approved enrollment? Can I update it in one place for all my enrollments?

Once an enrollment has been approved, you cannot change the contact information in it via this system (although a future version of the PSM will allow you to do this); please contact the state Medicaid office directly.

How do I update my license/certification information for an approved enrollment (e.g., if I have renewed my license)?

Once an enrollment has been approved, you cannot change the license and certification information in it via this system (although a future version of the PSM will allow you to do this); please contact the state Medicaid office directly.