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Provider Maintenance - Paying a Previously Waived New Enrollment Application Fee

Last updated: 5/15/2023
 

Providers may follow the instruction below to pay an enrollment application fee previously waived during the Public Health Emergency (PHE) if required for the provider type.

1.    Log in to the Provider Web Portal and click Provider Maintenance. Click Provider Maintenance again.
Note: The application fee is paid on the Attachments and Submit Panel, which will be greyed out by default upon initial login.
 
Screenshot of landing page with Attachments and Fees greyed out


2.    Complete any other maintenance updates that may be needed. If only paying the application fee, select any panel from the left navigation pane and click Go to Submit. In the example below, the Language Changes Panel was selected.
 
This action will activate the Attachments and Submit Panel. Click Attachments and Submit.
 

example showing how to update language changes and submitting


3.    Upload any attachments required for maintenance updates. If only paying the application fee, complete the Application Fee section, to include clicking the Online Bill Pay link to make the payment.
 
Screenshot showing attachment and fees required


4.    Under the Submit section, click the I accept checkbox, and enter the name of the person reporting the change. The Submit button will activate. Click Submit. An auto-generated tracking number will be generated. Retain the tracking number for your records and to check the status of the request.

agreement acceptance screenshot

 

Need More Help?

Visit the Quick Guides web page to find all the Provider Web Portal Quick Guides.