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October 30, 2025
Fall 2025 Member Newsletter
October 30 2025
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Medicaid Cultural Competency Training Certification
Group Certification
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This field is for validation purposes and should be left unchanged.
Accept
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I hereby certify all staff have completed cultural competency training for this year or in the last 12 months. I understand this certification is required annually by the New York State Department of Health. I confirm new providers/staff who join our group will complete the Medicaid Cultural Competency Training and the group will submit an updated provider list and certification upon request by the Plan. I declare that the above statement is true and accurate to the best of my knowledge. Additionally, this will confirm that I hold the authority to make this certification.
Name of Authorized Person
*
First Name*
Last Name
Email Address*
Title of Authorized Person
*
Group / Vendor / Delegate Name
*
Organizational TIN
*
Number of Providers
*
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Medicaid Cultural Competency Training Certification
Individual Certification
Email
This field is for validation purposes and should be left unchanged.
Accept
*
I hereby certify Amida Care participating providers have completed cultural competency training this year or in the last 12 months. I acknowledge this training and certification is required annually by the New York State Department of Health. I declare the above statement is true and accurate to the best of my knowledge. Additionally, this will confirm I hold the authority to complete this certification.
Provider Tax ID Number
*
Provider Information
*
Provider First Name*
Provider Last Name*
NPI Number* (e.g., 1234567890)
Group / Vendor / Delegate Name
Information completed by
*
First Name*
Last Name
Email Address*
Relationship to above-named provider (e.g., self, office manager, nurse, other)
*
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