Provider Index > Freestanding Clinic (D&TC)
If you do NOT prescribe, administer, or dispense controlled substances, then you do NOT need to submit a DEA certificate. You must, however, complete and submit the DEA Form (EMEDNY #610301) found below.
If you DO prescribe, administer, or dispense controlled substances, then you must submit a copy of your DEA certificate or a web-based printout from the Office of diversion Control website at https://www.deadiversion.usdoj.gov/webforms/dupeCertLogin.jsp and complete the DEA Form (EMEDNY #610301). If employed by an institution and authorized to use the institution’s DEA, you must submit a copy of the institution’s DEA certificate and proof of the suffix/identifier assigned to you by the institution.
If you are applying to become a Medicaid provider for the first time, in order to be reimbursed for services provided to Medicaid recipients you must also request that rates be established for your organization. Upon submission of your application, to minimize the time between approval of your Medicaid enrollment and the establishment of rates for billing purposes, please take the following action while your application is under review.
A representative from the Department of Health's Rate Setting Unit will respond and assist you with the process of establishing rates.