Add Licenses and Certifications

Use this link to add licenses or certifications required for the enrolling Individual Provider. Authorized users can select the required credentials link to check if a license or certification is required. The System shows license/certification requirements based on the provider type selected on the Basic Information page. The System uses this information to approve or deny the request. The expiration dates trigger notification to the provider that re-certification is required.

Note: You must complete all previous steps before you can complete the following procedure.

Important Note: If you chose to populate data from PECOS when starting the application, you must verify the information is correct and complete in this enrollment step. You do this by selecting an existing record link and editing the pre-populated information, if needed. You can also add and delete a record.

To add licenses and certifications:

  1. Select the Add Licenses and Certifications hyperlink.

    The System displays the License/Certification List page.

  2. Select the Add button.

    The System displays the Add License/Certification page.

  3. Select a Certification or License from the available radio buttons.

    Note: If you choose the N-License or Certification not required option, then you must provide evidence for why a license or certification is not required.

  4. Enter the required information marked by an asterisk (*).
  5. Select the OK button.

    The System saves the License/Certification and displays an updated License/Certification List page.

  6. Select the Close button.

    The System displays the Enroll Provider page.

To delete a license/certification:

  1. Select the Add Licenses and Certifications hyperlink.

    The System displays the License/Certification List page.

  2. Select the checkbox beside the record you want to delete and select Delete.

Related Topics

Individual

Facility/Agency/Organization/Institution

Group Practice

Billing Agent/Clearinghouse