In order to begin using EIM/ESM, contracted providers must complete, sign, and return several forms. Links for these forms appear within the Welcome Package below. Once the forms are complete, your organization will be eligible for EIM/ESM user training and other "go live" activities.
Each provider organization deploying EIM/ESM will be assigned a Deployment Contact who will support implementation activities. Your Deployment Contact will begin working with your organization before you "go-live" with EIM/ESM.
The EIM/ESM Provider Orientation document provides more information about the EIM/ESM service. You may also consult EIM/ESM Announcements and Newsletters to learn more.
- EIM/ESM Provider Orientation
- Updated! EIM/ESM Instructions (Posted 8/19/2014) file size 13MB
- Virtual Gateway Service Agreement - Form A
- Access Administrator Form - Form B file size 1MB
- EIM/ESM Rider - Form C
- Organization Management Template - Form D
- Updated! EIM/ESM User Request Form (Posted 4/11/2017)
Returning Completed EIM/ESM Forms
Please e-mail the Organization Management Template - Form D and the User Request Form to: VirtualGatewayDeployment@state.ma.us and keep a signed copy of the User Request Form for your records.
Please mail the Virtual Gateway Service Agreement - Form A, the Access Administrator Form - Form B, and the EIM/ESM Rider - Form C to:
EOHHS Virtual Gateway Operations – IDM Operations
100 Hancock Street, 5th Floor
Quincy, MA 02171
If you have any questions or need additional assistance, please do not hesitate to contact Virtual Gateway Customer Service at 1-800-421-0938.
We look forward to working with your organization.