Begins on July 1, 2019
Label
Instructions
Review/Update User Information (top left of screen)
Select the Provider Type from the dropdown list
The Primary Contact/Authorized Signatory can assign other users if necessary:
If the provider received a Notice of Limitation, a preparer can be assigned to complete the Request for Revision report
Click on the Assign Users link at the left of screen to do so.
Click on the Open Enrollment Forms button>
Provider Type
CLASS
DAHS
DBMD
HCS/TxHmL
ICF/IID
NF
PHC
RC
Contract Number/Component Code
Component Code