Medicaid Enrollment Requirements and Compliance Deadlines
All Medicaid Managed Care (MMC) network furnishing, ordering, prescribing, referring, and attending (OPRA) providers are to be enrolled with the New York State (NYS) Medicaid program as previously stated per §5005(b)(2) of the 21st Century Cures Act and 42 CFR §438.602. Moreover, MMC Plans will limit out-of-network services to services unable to be provided by network providers, following 42 CFR §438.206(b)(4).