The enrollment process should be completed within four to six weeks after we receive your completed application. Be sure you complete the application correctly. Any omissions or missing forms will cause the application to be returned.

No. Applications must have original, not copied signatures. Additionally, providers can apply for these programs using the Conduent web site.

Because of the tremendous amount of incoming mail, sending applications through certified mail helps to ensure proper delivery. It also serves as your proof of submission, helps us locate information through tracking numbers and guarantees quicker delivery. Applications are processed in the order they are received.

Yes. The division will not reimburse you for services rendered before the effective date of enrollment.

Any enrolled provider that becomes a different legal entity or is replaced in the program by another provider must give the Department at least 10 days prior written notice. Possible circumstances include dissolution, incorporation, re-incorporation, reorganization, change of ownership of assets, merger or joint venture.