Medicaid Enrolled Provider Listing

<b>Revalidation disclaimer</b>: The next anticipated revalidation date is an <b>estimated date that may be subject to change</b> based on factors such as a timing lag, updates made to an enrollment file prior to revalidation, and the State’s ability to extend the date for certain providers. Therefore, providers should make sure the correspondence address on their enrollment file is current, and <b>providers should not submit a revalidation package until they receive a notice in the mail to do so</b>. The notice will contain the deadline for submitting the revalidation. This is a list of active Medicaid fee-for-service (FFS), Managed Care Only and Ordering, Prescribing, Referring, Attending (OPRA) providers. Data elements include the provider’s Medicaid Provider ID, NPI, provider or facility name, Medicaid type, profession or service, provider specialty, service address, city, state, zip code, county, telephone number, latitude, longitude, enrollment begin date, next anticipated revalidation date, date the file was extracted from the data warehouse and a Medically Fragile Children and Adults Directory Indicator.

<b>重新验证免责声明</b>：下一次预计重新验证日期为<b>估算日期，可能因时间滞后、重新验证前注册文件的更新，以及州政府为部分医保服务提供者延长日期的权限等因素发生变更</b>。因此，医保服务提供者应确保其注册文件中的通信地址为最新状态，且<b>在收到书面通知前，不得提交重新验证材料包</b>。该通知将包含重新验证材料的提交截止日期。本列表涵盖活跃的医疗补助计划（Medicaid）按服务收费（fee-for-service, FFS）、仅管理式医疗以及订购、开具处方、转诊、主治（Ordering, Prescribing, Referring, Attending, OPRA）类医保服务提供者。数据项包括医保服务提供者的医疗补助供应商标识号（Medicaid Provider ID）、国家提供者标识符（National Provider Identifier, NPI）、服务提供者或机构名称、医疗补助类型、职业或服务类别、服务专科、服务地址、城市、州、邮政编码、县、电话号码、纬度、经度、注册开始日期、下一次预计重新验证日期、从数据仓库提取该文件的日期，以及医疗脆弱儿童及成人目录标识符。