Demystifying the layers of state Medicaid

It can be challenging to understand the many layers of Medicaid plans, the state funded insurance.  Let’s demystify some of these layers. I will explain a little more about three common plan types of state Medicaid. There are more than three types, but for this discussion we will focus on “fee for service”, and CCO …

Two steps to contracting and credentialing

Credentialing a provider with the pay sources (insurances) is a way to let them know who the provider is, and what services are being offered. Medical or behavioral healthcare providers who are intending to get claims paid by insurance companies will want to complete this first step – credentialing. You will need to submit provider …