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.
Medicaid is a huge provider of health insurance coverage. This program covers about one in 5 Americans and is the largest payer for long-term care services. Medicaid is a source of ongoing health policy debates at both the federal and state levels.
Kaiser Family Foundation’s Predictions of Important Medicaid Issues To Watch in 2019
This was an important issue in last year’s mid-term elections and, so far, 37 states including D.C. have adopted the Affordable Care Act (ACA) Medicaid expansion. Medicaid expansion would extend Medicaid eligibility to uninsured adults and children with income at or below 138% of the federal poverty limit. This includes many living with mental illness. Watch for more states adopting the expansion in 2019; changes to state expansions; the outcome of the Texas litigation that ruled last month that the ACA is unconstitutional.
The Centers for Medicare & Medicaid Services (CMS) issued guidance a year ago that allows states to impose work requirements for Medicaid eligibility. To date, there are 7 states with work requirement waivers and 8 additional states with waivers pending CMS approval. Watch for CMS approval of pending waivers; litigation results from specific states; how the new waiver policies’ adoptions can help inform the debate.
Medicaid initiatives to address the opioid and substance use disorder crisis.
Medicaid covers 4 in 10 non-elderly adults who are addicted to opioids and facilitates access to treatment services and medications. Watch for new state initiatives to tackle this epidemic; states that adopt new options from the “SUPPORT Act” with its policies to prevent new addictions and expand access to treatment; how Medicaid expansion will affect these efforts.
Medicaid Financing for Puerto Rico and the U.S. Virgin Islands.
Federal funding increased Medicaid support in these locations after the destruction of hurricanes Maria and Irma. This federal Medicaid financing support expires in September 2019. Watch for potential legislation to temporarily or permanently address these financing issues.
You can read the original Kaiser Family Foundation article here and learn more about these potential Medicaid changes and others such as public charge changes and payment and delivery system reforms.
Let Us Manage All Your Payer 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!