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Provider Enrollment: Status

You can view the status of your enrollment application by providing your tracking and tax ID number. You can view and print the enrollment application cover sheet if it is available. You can also revise the enrollment application if edits are allowed. The enrollment status can be accessed from either the welcome or secure home pages.

Verify Enrollment Application Status

1. Enter your assigned tracking number.
2. Enter your tax ID number.
3. Click Search. The Provider Enrollment - Summary panel appears below the Provider Enrollment - Status panel.
-- OR --
Click Cancel to cancel viewing the provider enrollment application status.

View and Print the Enrollment Application Cover Sheet

Click click here. The Provider Enrollment: Cover Sheet page appears.
Note: If the cover sheet is not available, the link will not be displayed.
Click Print. The Print dialog box appears.
Select the desired printer, print options, and click Print. The Provider Enrollment: Cover Sheet prints at the selected printer.
Click Close to close the Provider Enrollment: Cover Sheet page.

Revise Enrollment Application

1. Click Revise Enrollment Application if edits are allowed to the enrollment application.
   The Provider Enrollment: Revise Enrollment page appears.
   Note: If edits are not allowed, the link will not be displayed.
2. Enter your password and click Submit. The Provider Enrollment: Welcome page appears.
-- OR --
Click Cancel to cancel revising the enrollment application.