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Get the free Medicaid Non-Par Waiver - webdoc nyumc

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NYU FACULTY GROUP PRACTICE PRIVATE CONTRACT WITH MEDICAID BENEFICIARY This agreement is between Dr. (Physician), whose principal place of business is, and patient (Patient), who resides at and is
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Medicaid non-par waiver is a request to waive the requirement for providers to have a contractual agreement with Medicaid in order to provide services.
Healthcare providers who wish to provide services to Medicaid beneficiaries but do not have a contract with Medicaid are required to file the waiver.
The waiver can typically be filled out online on the Medicaid website or submitted through the mail.
The purpose of the waiver is to allow providers who do not have a contract with Medicaid to still provide services to beneficiaries in need.
Providers must report their basic information, services they wish to provide, and reasons for not having a contract with Medicaid.
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