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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Presentations and Materials

Thank you for visiting our IMPACT Presentation Downloads page. The below downloadable files are available to guide you through the process to complete a new enrollment or revalidation in the IMPACT system. The enrollment type definition is listed with each link to help you choose the proper steps to follow.

If you have additional questions while reviewing the material, please call 1-877-782-5565 or send an email to


Billing Agent

Facility, Agency, Organization


Rendering/Servicing Provider

Individual Sole Proprietor

Enrolling as a Dental Provider

Enrolling as a Transportation Provider

Enrollment Modifications

Domain Administrator Rights

Atypical Individual