Provider Enrollment

BEFORE COMPLETING AN ENROLLMENT APPLICATION, providers are required to confirm that the test(s) the lab is seeking reimbursement for is covered under NYS Medicaid. [18 NYCRR 505.7(a)].

The NYS Medicaid Program does not reimburse a clinical laboratory for laboratory-designed panel tests. Medicaid reimbursement will only be made for laboratory tests ordered individually [18. NYCRR 505.7(g)(4) and 504.5(a)(13)].
To view tests currently reimbursable by NYS Medicaid, refer to the NYS Medicaid Laboratory Services Fee Schedule and the New York State Medicaid Program Fee-for-Service Laboratory Procedure Codes and Coverage Guidelines Manual found on the eMedNY web page titled "Laboratory Manual".

Option 1

Laboratory for Hospital/Clinic Provider ...

Click here for the Enrollment Form and Instructions.

Option 2

Laboratory (Freestanding) Provider ...

Click here for the Enrollment Form and Instructions.

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