WebPre-Application. Before starting the application process, we’ll need some information from you to confirm that you meet the basic guidelines to apply for credentialing. Please call … WebFind care providers Compare hospitals, nursing homes, & more. Find Providers Near Me. Talk to someone Contact Medicare & other helpful resources ... You might qualify for a Medicare Special Enrollment Period (SEP) If you qualify for Medicare, but didn’t sign up when you first became eligible, you have a limited time to sign up after losing ...

Alabama Medicaid

WebAn application, from the Enrollment section, is needed for any provider in the following situations: New providers practicing within the State of Alabama and that need to be … WebAlabama Select Providers Provider Enrollment If you are a provider of medical services and wish to receive Medicaid reimbursement you must complete the required Medicaid provider enrollment application and enter into a written provider agreement with the Alabama Medicaid Agency. tics gun checks dealer only

Providers - Alabama Select

WebProvider Name National Provider Identifier (NPI) Address City State Zip Phone Fax Number E-mail Provider Information Submission Instructions Fax Fax the signed and completed form to: Attn: Credentialing 1-205-220-9545 Blue Cross and Blue Shield of Alabama, Attn: Credentialing Mail Post Office Box 362142, Birmingham, AL 35236-2142 WebFamily Planning (Birth Control) Referral. Hospital. Vendor. Long-Term Care, including Nursing Home, Hospice, Private Duty Nursing, HCBS Waiver and PACE Forms. Order Forms from Gainwell Technologies. Maternity Care. Legal. WebThe following forms are routinely submitted with an enrollment application: Electronic Funds Transfer (EFT) Authorization Agreement (Form CMS-588) Medicare Participating … tics guide