Frequently Asked Questions

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Do we need to receive designation to provide Children's CFTSS/HCBS before we enroll for a provider number such as the Medicaid Management Information System (MMIS)?

Yes, you need to receive designation to provide Children and Family Treatment and Support Services (formerly SPA) and/or Children's HCBS before you enroll for a provider number such as the Medicaid Management Information System (MMIS).

Source: OMH Medicaid Provider Enrollment Webinar 11.8.17

Does a provider need a different Medicaid number as a Children and Family Treatment and Support Services provider if they are currently an enrolled provider for a program (i.e. PROS)?

Providers already enrolled in Medicaid do not need to re-enroll. The State will add the appropriate Category of Service code for the providers who have been designated for children’s services. 

The only time an agency would need to complete a Medicaid application is if the agency is brand new.

Source: July 2018 CFTSS Billing In-Person Training

Can non-licensed providers for CFTSS and children's HCBS, that do not have a NPI, use the unlicensed provider number?

Yes. Non-licensed providers for CFTSS and HCBS that do not have a NPI can use the OMH unlicensed provider number 02249154 or the OASAS unlicensed provider number 02249145

More information on filling out clean claims can be found on MCTAC Billing tool.

Source: CFTSS: OLP, PSR, CPST Billing and UM Office Hour 11.15.18

Can individuals providing CFTSS or children's Aligned HCBS who are not licensed practitioners get NPIs?

Non-licensed staff do not require an NPI. Practitioners who are able and required to enroll in Medicaid will need an NPI to enroll. 

Source: State January Roundtable 2019