Communication to Providers on Medicaid Provider Enrollment Requirements

 Important: Action Required by September 30, 2018 in Order to Participate as a Provider in the Puerto Rico Medicaid Government Health Plan Program

September 12, 2018

Dear Provider:

The Puerto Rico Health Insurance Administration (ASES by its Spanish acronym) has extended the deadline to enroll with ASES until September 30, 2018.  Even if you are already participating in a managed care organization network for the Government Health Insurance Plan, you will still need to enroll as a provider with ASES.

ASES has launched an online provider enrollment application which is available within the “Provider” section of the ASES website:  The provider agreement must be accepted online in order to enroll as a Medicaid provider with ASES.  Most providers should be able to complete this application form within about twenty (20) minutes.

This federal law requirement, apply to all providers furnishing items or services, or ordering, prescribing, referring, or certifying eligibility for, services for individuals eligible to receive federal medical assistance through Medicaid. It is important that you prioritize early completion of this application.  If you have any questions about this new provider enrollment process, please contact us at [Contracted MCO] or ASES Customer Service Office directly at (787) 474-3300 from 8:00am to 4:30pm.

Thank you in advance for your timely cooperation.




For your reference here are some links to useful information related to this Provider Enrollment Process.

1- ASES Provider Enrolment Application  Guide

2- ASES Medicaid Provider Enrollment FAQs

3- Puerto Rico Medicaid GHP Provider Enrollment Agreement only (with cause termination )

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