The eMedNY Provider Portal is a comprehensive digital platform designed to streamline healthcare provider interactions with the New York State Medicaid system. This essential tool offers healthcare professionals a centralized, secure method to manage various administrative and billing tasks efficiently.
Official Links
- eMedNY Homepage: https://www.emedny.org/
- ePACES Login: https://epaces.emedny.org/
What Providers Can Do
The eMedNY Provider Portal provides multiple critical functionalities for healthcare providers:
Key Portal Services
- Provider Enrollment Management
- Electronic Claims Submission
- Payment and Remittance Tracking
- Provider Maintenance Transactions
- Access to Provider Manuals
- Training and Resource Center
Who Can Use It
The portal is specifically designed for:
- Medicaid Enrolled Practitioners
- Healthcare Providers
- Community-Based Organizations
- Managed Care Network Providers
Access and Login
Login Requirements
- Username
- Password
- Agreement to Medicaid Confidentiality Regulations
Login Support
- Technical Support Phone: 800-343-9000
Privacy and Security
Confidentiality Commitment
- Protected by state and federal regulations
- Strict confidentiality of Medicaid recipient data
- Significant penalties for violations
Notable Features
Electronic Services
- ePACES (Electronic Provider Access and Claims Encounter System)
- eXchange
- NYRx Medicaid Pharmacy Program
- Electronic Funds Transfer (EFT)
- Electronic Remittance Advice (ERA)
Important Updates
Recent Notices
- Two-Year Waiver Requests now accepted via FAX and email (Effective 6/1/2025)
- Mandatory Electronic Funds Transfer (EFT) Registration
- Pharmacy Benefit Transition to NYRx (Effective 4/1/2023)
Additional Resources
Provider Support
- Training Calendar
- Training Videos
- Provider Outreach
- HIPAA Support
- Transaction Instructions
Billing and Payments
Electronic Payment Options
- EFT Registration Required
- PDF and Electronic Remittance Options
- Online Form Submissions Available
Unprovided Information
Some specific details were not available in the source documents, including:
- Exact mobile app download instructions
- Comprehensive step-by-step login process
- Detailed feature descriptions beyond overview
The eMedNY Provider Portal represents a crucial digital infrastructure for New York State Medicaid providers, offering secure, efficient, and comprehensive administrative support.
Contact Information
- Support Phone: 800-343-9000
- Website: https://www.emedny.org/
Note: Always refer to official eMedNY communications for the most current information and guidelines.
FAQ
What is ePACES NY Medicaid?What is ePACES? A: ePACES is the acronym for the Electronic Provider Assisted Claim Entry System, a web-based application which will allow Providers to create/submit claims and other transactions in HIPAA format. eMedNY developed this application on behalf of the NYS Department of Health.
What is the meaning of ePACES?ePACES is the electronic Provider Assisted Claim Entry System of the New York State (NYS) electronic Medicaid New York (eMedNY) system.
What is the patient control number for ePACES?Patient Control # is the number assigned by the billing office for accounting purposes. Entry Status is the current state of the claim, i.e. Draft, Errors, Complete, Batched, Sent, Replaced, or Voided. Client ID is the recipient’s Medicaid Number. Client Name is the name of the recipient.
How do I check my NY Medicaid status?Call the HRA Medicaid Helpline at 888-692-6116. Log in or create your ACCESS HRA account at nyc.gov/accesshra, then click the “Benefits” tab at the top of the screen and click “View Details” on your Medicaid case.
https://epaces.emedny.org/
ePACES. No Provider Selected. You are about to leave the ePaces application. The “PAxpress” login screen will be opened in a new tab. Click “OK” to proceed
https://www.emedny.org/
Provider enrollment maintenance portal. Available for PRACTITIONERS only. Additional provider types will be able to use this portal at a later time.