Medicaid Provider Credentialing Services

The Medicaid credentialing process is required if you wish to participate in Medicaid to serve as provider for one of the largest healthcare insurance company of the nation. Provider enrollment is the term for this procedure. You may need to begin by making a phone call and filling out regular forms with us. The Council for Affordable Quality Healthcare (CAQH) has brought some standardization to the process. However, manual intervention and follow-ups will be required during the provider enrollment process to ensure that the process is completed correctly and on schedule.

Benefits working House of Outsourcing

We’ve created a Medicaid provider enrollment process that allows our clients to engage in Medicaid with only one credentialing process. Your required credentialing information will be generated and submitted to Medicaid automatically.

  1. Your application will be done more quickly
  2. The cost is fixed
  3. Full assistance
  4. Application status in real time
  5. Alerts for documents
  6. Focused on your work

What to Expect from Us?

During the Medicare provider enrollment and insurance credentialing process, you can expect a faster turnaround time and access to the highest-quality technology when you work with us.For many healthcare practitioners, becoming accredited can be a lengthy process that comes as a shock to new physicians. This is why it’s critical to collaborate with a reputable partner like Medicaid Healthcare to expedite and simplify the process of submitting a Medicaid credentialing application.

Our simplified system expedites the approval of your credentialing application. We know what to say and do in order to get results quickly!

Fill out Form

Let’s chat about your requirements and devise a strategy.

Collect your documents

To save time and money, have everything ready at the same time.

Take a seat and relax

From there, we’ll take care of everything! Take a seat and relax.

How to Enroll in Medicaid?

If you’re wondering how to get Medicaid Healthcare certified, we will complete the process. If you want Medicaid credentialing status, follow the steps below:

We will Get National Provider Identifier

The first step is to obtain your NPI number, which stands for National Provider Identifier Number. Before being employed to practice you should obtain an Individual NPI number. Regardless of where you work as a medical professional, you will be able to utilize this number throughout your career.

Step2:

Our Expert Credentialing Team Fill out Enrollment Form

A Medicaid Enrollment Application must be submitted by prospective providers. Go to the Provider Index page on this website. The following information is included on each Provider enrollment form:

  • A separate document including field-specific instructions, forms, and/or documentation.
  • Links to all additional forms that can be submitted dependent on the kind of provider
  • The enrollment form that must be completed

Applications that fail to meet one or more of the requirements will be sent back to the enrollee to be completed.

Insurance against Medical Malpractice

  • You should provide medical malpractice insurance in order to be accredited with Medicaid.
  • You should provide a copy of your declaration page on hand for the application procedure.

Fill Out the CAQH Application

  • Submitting the CAQH application is the next step in becoming a Medicaid provider
  • You will provide and complete documents. Even with the ease of an online application, gathering all of the required information can be time consuming.
  • Before moving on to the next phase, we will complete your CAQH application.

Get Medicaid Registration

Getting credentialed with Medicaid is the final step in the Medicaid credentialing process for providers. Fill out the online enrollment forms to register for Medicaid.

A physician can get certified to work in a hospital or credentialed and approved to be in-network for a health insurance company in 30 days in the most efficient circumstances. The process usually takes 60 to 90 days. It can take six months or more in some cases, especially with insurance providers.

Re-credentialing

Re-credentialing is a process that determines a provider’s continued ability to participate in Medicaid. The terms re-credentialing, reverification, and revalidation are interchangeable.

  • Every five years, it requires clinicians to be re-credentialed.
  • The provider’s credentials and qualifications are assessed as part of the process to ensure that they meet programme standards and are in good standing.
  • The message center inbox Tracks secure provider portal notifies providers of their upcoming re-credentialing due date.

Providers that do not complete the re- credentialing procedure in a timely manner will be removed from the Medicaid programme. Reminders will be sent 50 days, 20 days, and 5 days before the provider re-credentialing due date if the application is not filed. If the re-credentialing application is not filed by the re-credentialing deadline, providers will be suspended. After 50 days of suspension, the provider will be removed from the Medicaid and Health Choice program.