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Revalidating doctor michigan medicaid

JavaScript is disabled! Please enable to improve your experience. Posted on June 6, in Health Law News. Published by:
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Michigan Medicaid Enrollment

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Michigan Medicaid Enrollment requirement effective January

Effective Jan. The purpose of this requirement is to strengthen program integrity by preventing provider fraud. This change comes as part of federal regulations under the Affordable Care Act aimed at ensuring all providers who participate in Medicaid comply with federal screening and enrollment requirements. The regulations prohibit payment to providers who are not appropriately screened and enrolled. Typical providers are professional health care providers that provide health care services to beneficiaries.
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Understanding the Credentialing and Contracting process is critical to the financial success of your practice. Most insurance companies require healthcare providers to be contracted. Out of network or non-contracted providers are usually denied payment. Provider Enrollment often takes 4 - 6 Months to complete. It is important to know that plans do not retroactively date your enrollment.
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