Medicaid credentialing is the process of enrolling your practice with state Medicaid programs. Since Medicaid is administered by states, each of the 50 states has its own application process, requirements, and fee schedules. Without Medicaid enrollment, you cannot bill for Medicaid patients in that state. Our service handles enrollment in any state you choose.

Timelines vary dramatically by state. Some states process applications in 30-60 days; others take 90-150 days. We know each state's processing times and follow up proactively to avoid unnecessary delays. Expedited processing is available in some states for certain provider types.

Yes. We specialize in multi-state Medicaid enrollment for telehealth providers, multi-location practices, and health systems. We handle the unique application for each state, coordinate document submissions, and track each state's processing separately.

Fee-for-service Medicaid is billed directly to the state. MCO (Managed Care Organization) Medicaid is billed through private insurance companies that contract with the state. Many states require providers to enroll with both the state AND each MCO they want to see. We help you navigate this two-step process.

Medicaid requires state license, DEA registration (if prescribing), W-9, proof of location, malpractice insurance, and often state-specific forms. Some states require additional documentation like site visits or background checks. We compile everything needed for each state.

Yes. Most states require Medicaid revalidation every 1-3 years. We track each state's revalidation schedule, send advance reminders, and handle all renewal paperwork so your Medicaid participation never lapses.

Some states allow retroactive billing once Medicaid enrollment is approved — typically back to your application date. Others require enrollment before seeing patients. We advise you on each state's policy and help you capture all eligible Medicaid revenue.