At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
ACA Medicaid Provider Enrollment Deadline and Texas Medicaid Specifics
Do you or your practice order or refer for Medicaid patients, even if you don’t otherwise participate in Medicaid? If so, there’s an important deadline coming up.
By October 1, 2017 – which is right around the corner – you must enroll in Medicaid as required by the Affordable Care Act (ACA). Anyone who orders or refers for Medicaid patients in your practice must enroll including physicians, advanced practice registered nurses, physician assistants and other health care professionals and providers.
If you already have enrolled as an ordering and referring-only practice, or if you already have a Medicaid provider number, you are all set.
Enrollment also applies to those physicians who only care for dual-eligible patients (those who are eligible for both Medicare and Medicaid) and who order Medicaid-only services for those patients. These physicians must enroll as an ordering and referring physician.
Here are a few more important points:
After October 1, Medicaid patients won’t be able to fill a prescription if the ordering and referring physician or other provider is not enrolled. In addition to prescriptions, the following services also require an order or referral: clinical, radiological or laboratory services; home health agency services; durable medical equipment; eyeglasses; hearing aids.
You must include the National Provider Identifier (NPI) of the ordering, prescribing or referring provider on the claim when submitting a claim for services that require an order or a referral.
Residents and interns at your practice will be able to order and refer using the supervising physician’s NPI or their own if they have one.
At 1st Assistant, credentialing is our ONLY business! Let us take the administrative burden of provider enrollment off of you and your staff so you can focus on treating your patients.
Resources for Texas Medicaid Providers
Texas Medicaid providers can find more information and enroll at the Texas Medicaid and Healthcare Partnership website.
There is an abbreviated enrollment application available from the Texas Medicaid and Healthcare Partnership for those physicians whose only relationship with Texas Medicaid is to order or refer services to Medicaid clients.
Let Us Manage All Your Payor Enrollment Services
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!