Michigan Medicaid Requires Prescribing Providers To Enroll
Michigan health providers must enroll by Oct. 1 Beginning October 1, 2019, Medicaid beneficiaries with prescriptions written by healthcare providers who are not enrolled with the Medicaid program will not be able to have the prescription filled. Federal requirements...
FL Medicaid Moratorium on New BA providers
The Agency for Health Care Administration (Agency) announced that it will extend the moratorium on enrollment of new Behavior Analysis (BA) providers in Miami-Dade and Broward counties, with the approval of the Centers for Medicare and Medicaid Services (CMS). The...
Maryland Medicaid Provider Enrollment Portal
Provider Revalidation and Enrollment Portal (ePREP) Maryland Medicaid’s new electronic Provider Revalidation and Enrollment Portal (ePREP) is live! All providers who bill the medicaid program for services are now required to enroll with the new portal. ePREP is...
Mass Health Changes in Mid-Level Provider Enrollment
Changes to Mass Health Enrollment for Mid-Level Practitioners; Physical & Occupational Therapists; Independent Nurses. MassHealth, the state Medicaid program for Massachusetts, is moving forward with Mid-Level Practitioner amendments proposed in April of this...
CT Medicaid Enhanced Provider Enrollment Screening
Fingerprint Based Criminal Background Checks Effective October 13, 2016 the Connecticut Medicaid program will begin requiring fingerprint based criminal background checks (FCBC) for all providers designated as a “high” categorical risk. The new screening...
MassHealth (MA Medicaid) Plan Changes
MassHealth Ordering, Referring, and Prescribing Policy There are some significant changes taking effective September 1, 2016 with the Massachusetts Medicaid program (MassHealth). Every provider licensed in the state must now have an active enrollment record with...
Medi-Cal provider enrollment going electronic
Medi-Cal’s Doctor Sign-Up System Finally Going Online Medi-Cal’s enrollment system for doctors and other health care providers, long criticized in the medical community for being complicated and slow, is getting an overdue transformation. Paper is out, computers are...
Insurance Credentialing is a Good Candidate for Outsourcing
Outsource Insurance Credentialing Responsibility for outsourcing an important business function can be a daunting decision. Whether you are a seasoned manager of a large organization, or a solo practitioner starting a new medical practice there are some functions...
2016 Medicare Application Fee
CMS has announced the CY 2016 application fee for institutional providers enrolling with Medicare, Medicaid, or Children’s Health Insurance Program. The fee will be $554 and is up slightly from the CY 2015 fee of $553. This fee is required for all...
