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Modified PACRF - eMedNY is a form used by providers to report changes in their practice, such as changes in ownership or service locations, to the New York State Department of Health (NYSDOH).
Providers participating in the Medicaid program in New York are required to file modified PACRF - eMedNY when there are any changes to their practice that need to be reported.
Providers can fill out the modified PACRF - eMedNY form online through the eMedNY website or by submitting a paper form to the NYSDOH.
The purpose of modified PACRF - eMedNY is to ensure that the NYSDOH has up-to-date information about providers participating in the Medicaid program in order to maintain program integrity.
Providers must report changes such as ownership changes, changes in service locations, changes in provider type, and changes in services offered on the modified PACRF - eMedNY form.
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