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Medicaid Enrollment Requirement Update

Audience: Licensed Clinical Social Workers, Licensed Mental Health Counselors and Licensed Marriage and Family Therapists

Section 5005 of the 21st Century Cures act requires Managed Care Organizations (MCOs) to ensure all eligible Medicaid Managed Care (MMC) and Child Health Plus (CHP) network providers are enrolled with the New York State Fee-for-Service Medicaid program.

Per information shared with the Health Plan by the New York State Department of Health, effective April 1, 2023, licensed clinical social workers, licensed mental health counselors and licensed marriage and family therapists will be required to enroll with the New York State Fee-for-Service Medicaid program in order to continue servicing MMC, Health and Recovery Plan and CHP members.

Enrollment information is available on eMedNY Provider Enrollment web page: https://www.emedny.org/info/ProviderEnrollment/index.aspx.

Once you enroll with the New York State Fee-for-Service Medicaid program you will receive direct communication and updates from eMedNY Provider Enrollment.

After you enroll and receive confirmation of enrollment, please send to the following address:

Excellus BlueCross BlueShield
Attn: Provider Contract Administration
333 Butternut Drive
Syracuse, NY 13214

If you have any questions please contact your Behavioral Health Provider Relations representative.

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