New York Medicaid
Credentialing and enrollment guides for New York Medicaid across 1 states.
Quick Overview
Timeline
30 - 90 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About New York Medicaid
NYSDOH — New York Medicaid
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete New York Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to New York Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with New York Medicaid?
Our specialists handle the entire New York Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
DISCLOSURE_FORM
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
New York Medicaid eMedNY Enrollment
Contact Information
Provider Credentialing
1-800-343-9000
Mon-Fri 8am-5pm
Provider Services
1-800-343-9000
Claims & Billing
1-800-343-9000
Quick Links
Need Help?
Let PayerReady handle your New York Medicaid credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for New York Medicaid-specific credentialing details including timelines, contacts, and local requirements.
New York Medicaid credentialing requirements by state
New York Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state New York Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| New York | Open | 30–90 days | New York Medicaid Managed Care enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DOH (Department of Health) eMedNY provider enrollment portal. (3) Submit application with NY state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. New York operates mandatory managed care in most counties with multiple MCOs and Health and Recovery Plans (HARPs) for behavioral health. Behavioral health providers accepted include LMHC, LCSW, LMFT, and Licensed Psychologist with active New York licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about New York Medicaid credentialing
How long does New York Medicaid credentialing take?
New York Medicaid credentialing typically takes 30–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does New York Medicaid require CAQH?
No. New York Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on New York Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does New York Medicaid operate in?
New York Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.