Medicaid Provider Enrollment and Revalidation Support.
State Medicaid programs and their managed care plans each have their own portals, forms and revalidation cycles. WCH manages the whole set so you stay enrolled and payable.
Why Medicaid is harder than it looks
Every state is different
Portals, screening levels, forms and fees vary by state and provider type.
Fee-for-service is not enough
Most Medicaid volume flows through MCOs, which require separate enrollment and contracts.
Revalidation waves
State revalidation pushes create hard deadlines that disenroll providers who miss them.
Screening requirements
Site visits, fingerprinting and disclosure requirements depend on risk category.
Medicaid enrollment scope
State enrollment
Applications filed in the state's Medicaid portal with the correct provider type and specialty.
MCO enrollment
Managed care plan applications and contracts pursued alongside the state program.
Disclosure and screening
Ownership disclosures, background screening and site-visit coordination handled.
Revalidation management
Cycles tracked and filed before the state's deadline.
Demographic updates
Address, group affiliation and TIN changes reported to keep records payable.
Status reporting
Written updates on each state and each plan.
How it works
- 1
Map requirements
State program, provider type, risk level and relevant MCOs identified.
- 2
Prepare
Documents, disclosures and portal accounts readied.
- 3
Submit
State and plan applications filed and tracked.
- 4
Maintain
Revalidations and updates managed on an ongoing calendar.
Why practices choose WCH
- New York eMedNY expertise plus multi-state coverage
- Coordinated with Medicare and commercial enrollment
- Supports groups adding providers or locations
- Reactivation help for lapsed records
Frequently asked questions
Related services
Ready to see the numbers for your practice?
Book a free 30-minute call or email contact@wchsb.com. We will review your current performance and tell you exactly what is recoverable.