Medicaid Credentialing & MCO Plans: What You Need to Know

If you're a healthcare professional, you might have heard about the complexities of Medicaid credentialing and Managed Care Organization (MCO) plans. In this video, I briefly summarize everything you need to know. We'll explore how Medicaid plans have evolved, the role of MCO plans, and the steps you must take to ensure you're properly credentialed.
I'll explain why contracting with a big insurance name might not automatically give you access to MCO plans. Whether you deal with Medicaid or Medicare, this video provides crucial insights for a solid contracting and credentialing foundation. If you have any questions or thoughts, please drop them below. Don't forget to give this video a thumbs up if you found it helpful, subscribe if you haven't already, and share it with others who could use this valuable information. Thanks for your support, and I will catch you in the next one!
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Hi there! My name is Jennifer. Over the last 15 years, I've gained much experience working in the medical field in various roles. Through my experience, I've seen many medical practice owners make mistakes in running their businesses. That's why I created this channel - to help medical practice owners avoid these common pitfalls. I aim to promote growth and success within the private practice world of medicine. Healthcare has become too standardized, creating many unnecessary challenges and demands.
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[@DA-qj1ib]

3rd video in, I am learning so much. I am currently in the process of opening my own reference lab, and these videos are a God send!

[@navigatingthebusinessofmed8251]

Wonderful! Glad you are finding it helpful! Thank you for watching! Please remember to subscribe to my channel and hit the “thumbs up” on each video. Good luck!

[@itsirkeel]

You are SO perfectly timed with this MCO and Medicaid video! Especially for us here in Oregon and also in Portland, specifically. Navigating these new plans is going to be quite the learning experience. I'm so grateful to you for these! I'm sharing with our clinic director and newest clinician. 😍💓

[@navigatingthebusinessofmed8251]

Thank you so much! I appreciate your support and encouragement. Yes, they do not make this easy for us by any means. Good luck!

[@user-bw5xe8mg4w]

Thank u so much!!!

[@navigatingthebusinessofmed8251]

You are very welcome and thank you for watching!

[@justinmccomish5748]

Can you do a video on EVV for the Cures Act?

[@navigatingthebusinessofmed8251]

Thank you for the request and for watching. I am not fully familiar with this, but I will do my research and hopefully be able to release something soon.

[@shalondacoleman5082]

Will these tips also benefit NEMT companies?

[@navigatingthebusinessofmed8251]

They should, but if you are only getting your group affiliated with an insurance then you would not need to follow specific information about getting a provider credentialed. Thank you and good luck!