New York credentialing
Credentialing services in New York
We credential providers and enroll groups across New York — NYS Medicaid through eMedNY, the downstate managed-care plans, and every major commercial payer.
Overview
What credentialing in New York actually involves
New York is our home market. Our office is in Brooklyn, and most of the groups we work with bill a mix of NYS Medicaid, Medicaid managed care, and commercial plans across the five boroughs, Long Island, Westchester, and upstate.
Empire / Anthem BCBS, Aetna, Cigna, UnitedHealthcare, Oxford, and the behavioral networks (Optum Behavioral, Carelon, Magellan) cover most commercial volume in New York.
New York State Medicaid
Filed through eMedNY provider enrollment. eMedNY fee-for-service enrollment commonly runs 60–120 days from a clean submission, with managed-care roster loads adding another 30–90 days per plan.
New York Medicaid managed-care plans we enroll with
- Fidelis Care
- Healthfirst
- MetroPlusHealth
- EmblemHealth / HIP
- UnitedHealthcare Community Plan
- Amida Care
- MVP Health Care
- Excellus / Highmark BCBS regions
New York licensing we handle
- NYSED Office of the Professions license verification and applications
- Licensed Behavior Analyst (LBA) and Certified Behavior Analyst Assistant paths
- NYS controlled-substance and DEA address alignment
- Article 28 / Article 31 facility considerations where they apply
New York licenses behavior analysts through NYSED. A BACB certification alone is not enough to bill — the LBA license has to be in place before Medicaid and most commercial ABA panels will complete credentialing.
FAQ
New York credentialing questions
How long does Medicaid credentialing take in New York?
eMedNY fee-for-service enrollment typically takes 60–120 days from a complete submission. Managed-care plans like Fidelis, Healthfirst, and MetroPlus load rosters after the state Medicaid ID is issued, which usually adds another 30–90 days per plan.
Do you handle New York Medicaid managed care plans?
Yes. We enroll the group with NYS Medicaid first, then file roster loads and participation agreements with each managed-care plan your patient panel uses.
Can you credential BCBAs in New York?
Yes. New York requires a Licensed Behavior Analyst (LBA) credential through NYSED in addition to BACB certification. We manage the license and the payer credentialing together so there is no gap.
Other states
Get started
Expanding in New York?
Book a call and we'll map your New York payers, licensing, and Medicaid timeline before you file anything.