NY Medicaid  
home | self help | glossary | site map

ETIN Overview


ETIN Certification FAQs

Q: What does ETIN stand for?
A: Electronic Transmitter Identification Number.
 
Q: Can I digitally sign the ETIN certification statement?
A: No. It must be an original, wet signature.
 
Q: How often do I have to recertify my ETIN?
A: ETIN certifications need to be certified every year.
 
Q: What happens if I don't recertify my ETIN?
A: In order to have access to any electronic transaction with eMedNY, the ETIN has to be up to date and active. This includes ePACES, sending claims and files. Delaying certifying an ETIN could result in a gap in billing and other issues, for example: remittance statements reverting back to paper if they were set to electronic.
 
Q: Is there a grace period for ETINs after they decertify?
A: In order to receive a "7 day grace" for a decertified ETIN, you would need to call the Call Center at 1-800-343-9000. They will advise you of the address to overnight the ETIN certification statement. Only one 7 day grace period will be allowed.
 
Q: Should I send the ETIN certification via tracked mail?
A: Yes. It's useful to have the tracking information in case something happens to the certification statement (We haven't received it in the allotted time, was sent to a different address, etc.)
 
Q: Who should be linked to an ETIN for a claim to process without being rejected?
A: The billing provider's NPI, the group NPI, and the rendering provider's NPI.



Date on ETIN Certification Form

ETIN certification statements can be accepted at any time and can have an "As of" date anytime within the past 11 months or postdated no more than 51 days in the future.

If the "As of" date on the form is blank, the new certification date will be 1 year from the date the form is processed.

If a handwritten date is indicated in the "As of" field, the new certification date will be 1 year from the date on the form. If this date is more than 51 days in the future or 11 months in the past from the current date the form will be rejected.

NOTE: Leaving the date blank or writing a different date on the form can cause the next certification to be due sooner than originally scheduled.



Common ETIN Certification Form Rejections

  • Stamp/Seal or hand written information is missing
  • Signature of notary is missing or not original
  • Last name of notary is misspelled
  • Expiration year has expired or is missing
  • Provider's name is missing in notary section
  • If the date is more than 51 days in future or 11 months in the past from the current date
  • ETIN on the certification is missing, illegible or invalid
  • Provider is not enrolled in the NYS Medicaid Program
  • Provider name on the certification statement does not match the name associated with the Provider ID/NPI that is listed on the form.
  • Provider ID/NPI is missing, Invalid, or Illegible
  • Certification Statement has been altered, but the changes have not been initialed

151-1:59:00 AM