Provider Enrollment Training
eLearning courses giving step by step instruction on how to navigate the system are now available!
- Introduction and Overviews to PRISM for Providers (7 minutes) opens in a new tab
- PRISM Account Access One Time Validation Letter (Validating Converted Medicaid Provider Information) (4 minutes) opens in a new tab
- Provider Account Admin: Managing a Provider Domain (8 minutes) opens in a new tab
- Viewing Archived Documents (2 minutes) opens in a new tab
Enrolling as an Individual Sole Proprietor Provider (1 hour 36 minutes)
- Overview: Enrolling as an Individual/Sole Proprietor Provider (7 minutes) opens in a new tab
- Add Basic Information (11 minutes) opens in a new tab
- Add Locations (11 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (5 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as an Individual Rendering Servicing Provider (1 hour)
- Overview: Enrolling as an Individual Rendering/Servicing Provider (7 minutes) opens in a new tab
- Provider Basic Information (7 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (5 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as an Atypical Individual Provider (1 hour and 29 minutes)
- Overview: Enrolling as an Atypical Individual Provider (7 minutes) opens in a new tab
- Add Basic Information (5 minutes) opens in a new tab
- Add Locations (10 minutes) opens in a new tab
- Add Specialties (4 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as an Atypical Agency (1 hour and 27 minutes)
- Overview: Enrolling as an Atypical Agency Provider (6 minutes) opens in a new tab
- Add Basic Information (5 minutes) opens in a new tab
- Add Locations (9 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Group Practice Provider (1 hour and 26 minutes)
- Overview: Enrolling as a Group Practice Provider (7 minutes) opens in a new tab
- Add Basic Information (4 minutes) opens in a new tab
- Add Locations (11 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Facility/Agency/Organization (FAO) (1 hour and 27 minutes)
- Overview: Enrolling as a Facility Agency Organization Provider (7 minutes) opens in a new tab
- Add Basic Information (6 minutes) opens in a new tab
- Add Locations (11 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (3 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Contractor/MCO (1 hour and 3 minutes)
- Overview: Enrolling as a Contractor/MCO (7 minutes) opens in a new tab
- Add Basic Information (5 minutes) opens in a new tab
- Add Locations (10 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add Identifiers (3 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- Add Payment Details (3 minutes opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Billing Agent (30 minutes)
- Overview: Enrolling as a Billing Agent (7 minutes) opens in a new tab
- Add Basic Information (6 minutes) opens in a new tab
- Add Mode of Claim Submission (4 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Managing the Information of an Individual Sole Proprietor Provider (1 hour and 32 minutes)
- Overview: Managing the Information of an Individual Sole Proprietor Provider (4 minutes) opens in a new tab
- Update Basic Information (7 minutes) opens in a new tab
- Update Locations (8 minutes) opens in a new tab
- Update Specialties (8 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of an Individual Rendering/Servicing Provider (1 hour)
- Overview: Managing the Information of an Individual Rendering/Servicing Provider (4 minutes) opens in a new tab
- Update Basic Information (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of an Atypical Individual Provider
- Overview: Managing the Information of an Atypical Individual Provider (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Locations (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Servicing Provider Details (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (6 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of an Atypical Agency Provider (1 hour and 29 minutes)
- Overview: Managing the Information of an Atypical Agency Provider (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Locations (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Servicing Provider Details (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Group Practice Provider (1 hour and 26 minutes)
- Overview: Managing the Information of a Group Practice Provider (4 minutes) opens in a new tab
- Update Basic Information (6 minutes) opens in a new tab
- Update Locations (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Servicing Provider Details (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Facility/Agency/Organization Provider (1 hour and 25 minutes)
- Overview: Managing the Information of a Facility/Agency/Organization Provider (4 minutes) opens in a new tab
- Update Basic Information (4 minutes) opens in a new tab
- Update Locations (5 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Contractor/MCO Provider (1 hour and 8 minutes)
- Overview: Managing the Information of Contractor/MCO Provider (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Locations (8 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update Identifiers (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Network Provider Details (2 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Billing Agent (22 minutes)
- Overview: Managing the Information of a Billing Agent (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (5 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab