Contacts
Contact Information
Phone
Online
The Details
What you need
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.
How to enroll
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
Next steps
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.
More info
Welcome Package
Documents below under Downloads