Individual in a Group providers may affiliate to multiple organizations.Īll providers may need the following minimum information to complete your enrollment request: You will be notified if your application cannot be processed because it is incomplete or the information is incorrect.Įxisting Group members (Individuals in a Group) only need to be enrolled once for each state in which they practice. All attachments must be complete, legible and current. Please note that only one service location and one provider type can be enrolled per application. (This status is used for KMAP-approved applications that have also requested to participate with additional managed care organizations.) Submitted to Managed Care - Application has been forwarded to MCOs for contracting. A new application is required in this situation. For newly-enrolling Providers, the Welcome Packet includes the Provider number and other program participation information.)Įxpired - Application was not submitted within the allowable timeframe. (Applicant will receive written confirmation that the application has been approved. (Applicant will receive a separate notification identifying the specific issue(s) requiring attention.)Īpproved - Application has been approved. RTP (Returned to Provider) - Application requires corrections. Pending - Application has been queued for the enrollment team for review. Submitted - Application is complete and has been submitted for review. (*Revalidation is a pre-populated application that needs to be reviewed by the provider and submitted.)Īwaiting Attachments - Application has been submitted but is waiting for required attachments/documents. Partial/Started - Application has been started but not yet been submitted or a revalidation* has been generated and requires the provider to complete the revalidation. To check the STATUS of an application click Here The application will automatically save each time you click “Continue”. To start a NEW application please click the “Start” button in the bottom right corner to begin the enrollment process. Welcome to the Online Provider Enrollment System
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