How to Become a Medicaid Provider in New York (NY)

Q: How do I become a Medicaid provider in New York?

Apply through New York State Department of Health (DOH). Timeline: 120–180+ days (New York has the longest timeline).

New York Medicaid at a Glance

Program Name

New York Medicaid

Managing Agency

New York State Department of Health (DOH)

Reimbursement Rates

$22–$35/hour for home health aide; $55–$120/visit for skilled nursing

Application Timeline

120–180+ days (New York has the longest timeline)

Enrollment Process: Step by Step

1
Apply through eMedNY Provider Enrollment
2
Complete DOH Licensed Home Care Services Agency (LHCSA) Application
3
Submit NPI, EIN, and NY business registration
4
Complete DCJS/FBI background checks
5
Obtain DOH LHCSA License
6
Submit proof of liability insurance
7
Contract with Managed Long-Term Care (MLTC) plans
8
Complete MLTC credentialing

Accepted Provider Types

Licensed Home Care Services Agencies (LHCSA) Certified Home Health Agencies (CHHA) Long-Term Home Health Care Programs Fiscal Intermediaries

Required Certifications & Licenses

✓ DOH LHCSA or CHHA License
✓ NPI Number
✓ DCJS Background Check

Waiver Programs in New York

These Medicaid waiver programs fund home and community-based services in New York:

Managed Long-Term Care (MLTC)

Nursing Home Transition & Diversion (NHTD) Waiver

Traumatic Brain Injury (TBI) Waiver

Consumer Directed Personal Assistance Program (CDPAP)

Billing System

eMedNY for FFS; MLTC plan billing for managed care

⚠️ Common Denial Reasons

✗ LHCSA license not obtained
✗ Incomplete DOH character & competence review
✗ MLTC contract issues
✗ Background check failures

💡 Tips for Approval

★ New York has the LARGEST Medicaid home care market in the US
★ LHCSA licensure takes 6–12 months — start immediately
★ MLTC contracts are essential for census building
★ CDPAP changes are creating new market opportunities
★ NYC vs upstate have very different competitive landscapes

Need Help Enrolling in New York?

Our team specializes in Medicaid provider enrollment for home care agencies. We'll guide you through every step.

Start Your Application → Book Free 15-Min Call

Other States

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Frequently Asked Questions — Medicaid in New York

How do I become a Medicaid provider in New York?

To enroll as a Medicaid home care provider in New York, you must apply through New York State Department of Health (DOH). The process includes: Apply through eMedNY Provider Enrollment. Timeline: 120–180+ days (New York has the longest timeline).

What are the Medicaid reimbursement rates in New York?

$22–$35/hour for home health aide; $55–$120/visit for skilled nursing

What certifications are required in New York?

Required certifications include: DOH LHCSA or CHHA License, NPI Number, DCJS Background Check.

What waiver programs are available in New York?

Managed Long-Term Care (MLTC); Nursing Home Transition & Diversion (NHTD) Waiver; Traumatic Brain Injury (TBI) Waiver; Consumer Directed Personal Assistance Program (CDPAP)

What are common reasons for Medicaid denial in New York?

LHCSA license not obtained; Incomplete DOH character & competence review; MLTC contract issues; Background check failures

How to Become a Medicaid Home Care Provider in New York