You may need a Provider Information Sheet to register as a Medicaid provider. If you do not have a Provider Information Sheet, you can have one mailed to the address on record for the Medicaid provider.
To begin,
Click on the Registration Menu link in the left-side navigation bar
Look for the Click "Here" hyperlink under the Provider Registration description. Click on the link.
Complete the required fields on the Provider Information Sheet Request Form page and click Submit.
After the request is received by HFS, a Provider Information Sheet will be generated for the provider on the following Friday. Once generated, allow 4-6 working days for mailing. For more detailed information, review the window level help for the Request Provider Information Sheet Page.