1     Accessing the Provider Services Portal (PSP)

All NYS Medicaid providers and PSP users must either have a Health Commerce System (HCS) or a NY.gov business account to access the PSP.

If you already have either a HCS or a NY.gov Business Account, please follow the applicable link below to access the PSP. If Multi Factor Authorization (MFA) is not set up, you will be prompted to set this up to access the PSP.

Health Commerce System (HCS) users please click on the login link: https://hcs.nysproviderportal.health.ny.gov

NY.Gov Business Account users please click on the login link: https://www.nysproviderportal.health.ny.gov

2A     Health Commerce System (HCS) Account Creation

1. Information related to who and how sign up for an HCS Account can be found at Home | Public Information Portal. Select the Get Started link for individual instructions, information and other Quick Reference materials prior to creating accounts.
   • NYS Licensed Medical Providers: Can apply for an HCS account through a "paperless" application process using your NYS healthcare license. Licensed Medical Professionals start here. Out of State healthcare professionals that do not have a NYS DMV Driver License or Non-driver Photo ID can still apply for an HCS medical professions account using the existing paper process which requires signatures and a notary or If you wish to a NY.gov Business Account, see NY.Gov Business Account Creation (SEE TAB 2B).
     
     
   • Unlicensed Professionals and Provider Credentialer's (preparing applications): Can apply for an HCS account, but will need the assistance of your organization's HCS coordinator. Unlicensed Professionals start here.
2. Once the HCS account is created, you can always add the NYS Medicaid Provider Services Portal (PSP) application. Please see HCS help guides related to adding applications to your account. Once adding this application to your dashboard, it will have a quick link to the PSP.
3. If Multi Factor Authorization (MFA) is not set up, you will be prompted to set this up to access the PSP.
   
   NOTE: If your organization does not have an HCS account or is unable to create an HCS account (therefore would not have an HCS Coordinator) you must create a NY.gov Business Account. If a NY.gov account is needed, SEE TAB 2B.

2B     NY.Gov Business Account Creation

1. Click on the login link: https://my.ny.gov/LoginV4/login.xhtml
2. If you have a HCS account proceed to step 3, otherwise you will have to create an NY.GOV business account (NY.GOVID Account Creation Instructions)
3. Click on the login link: https://www.nysproviderportal.health.ny.gov to access the PSP.
4. Set up Multi-Factor Authentication (MFA)
5. Authenticate ID through the ID Proofing Wizard
   • Documents submitted and photos taken during the identity proofing process will not be stored or retained

3     Start an Enrollment Application

Providers will enter basic information about themselves and/or their organization, including contact information and identifiers required to create an application.

The system will assign a unique Application ID (IMPORTANT, always write down this ID). With this ID providers can:

• track the status of an application, and
• return later to complete or update the application (if it has not yet been submitted).

4     Complete the Enrollment Application

Detailed information will be requested related to provider type, services offered, billing status, affiliations, and compliance with Medicaid program requirements.

• Each field is identified as mandatory or optional.
• Incomplete applications can be saved at any time and returned to later for modification or completion as long as the application status is "In Process."
• Providers can upload required documentation, such as licenses, certifications, or other required documents.

* Applications started but not submitted within 45 days will be deleted. If deleted, you must begin the application process again.

Once all required information has been entered and documentation has been uploaded, the application should be:

• reviewed for accuracy, and
• submitted to the State for review.
• NOTE: The provider will be required to log in via their own unique NY.gov business account and have to review their application and click the submit button.

After submission:

• the application status changes to "In Review," and
• changes can no longer be made unless you receive a request for updates or corrections.

5     Review of an Enrollment Application and Determination of Enrollment:

Once an application is submitted and under review

• all information will be verified for accuracy and completeness,
• eligibility and compliance with Medicaid program requirements will be confirmed, and
• notifications will be sent to the provider as applicable (e.g., rejected and returned application, request for additional information, documents or corrections), and**
• an application's progress can be monitored in the system using the Application ID.

** If you receive a notification, respond promptly to avoid delays in processing or withdrawal of the application (after 45 days). If withdrawn, you must begin the application process again.

When review of the application is complete,

• the application status is updated in the system and a notification is sent by e-mail;
• the system updates the provider’s status to "Active," (provider can begin participating in the NYS Medicaid program) or "Denied," as applicable; and
• the provider will receive a determination in writing that includes the effective date of enrollment if approved.