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1 Provider Enrollment - Cabinet for Health and Family Services
https://chfs.ky.gov/agencies/dms/dpi/pe/Pages/default.aspx
The Kentucky Medicaid Program appreciates your interest and welcomes the opportunity to work with you to provide health care services to Kentucky Medicaid ...
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2 New Enrollment, Revalidation or Maintenance
https://chfs.ky.gov/agencies/dms/provider/Pages/providerenroll.aspx
Enrolling New Kentucky Medicaid Providers · Review the provider type summary for your provider type to understand the documentation required to enroll. · Review ...
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3 Provider Application Information
https://chfs.ky.gov/agencies/dms/dpi/pe/Pages/apply.aspx
Enroll as a Medicaid Provider. If you want to enroll as a Kentucky Medicaid provider and are not assigned to an MCO or choose not to participate in an MCO (fee- ...
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4 Medicaid Partner Portal Application
https://chfs.ky.gov/agencies/dms/dpi/pe/Pages/mppa.aspx
Users who access the new KY MPPA site through KOG will be directed to the new ... Subscribe to CHFS email updates (select Provider Enrollment for KY MPPA ...
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5 National Provider Identifier
https://chfs.ky.gov/agencies/dms/dpi/pe/Pages/npi.aspx
To submit your NPI and taxonomy code(s) to Provider Enrollment by mail to: Kentucky Medicaid Provider Enrollment P.O. Box 2110. Frankfort, KY 40602.
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6 Provider Information - Cabinet for Health and Family Services
https://chfs.ky.gov/agencies/dms/provider/Pages/default.aspx
Medicaid COVID-19. Information​. Kentucky Medicaid enrolls providers based on their provider type. ... Provider Enrollment or Revalidation - (877) 838-5085
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7 Provider and Credentialing Agent Initial Medicaid ID Linkage
https://chfs.ky.gov/agencies/dms/dpi/pe/train/InitialMedicaidIDLinkage.pdf
If CAs have not been previously associated with KY Medicaid IDs (or the information did not transfer into KY MPPA), the CA will need to be invited to link ...
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8 Map-811 Provider Application Checklist
https://www.chfs.ky.gov/agencies/dms/MAPForms/Map811.pdf
If you have any questions regarding your enrollment, please call Kentucky Medicaid toll free at (877) 838-5085. A provider enrollment specialist will be ...
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9 Provider Enrollment - KYMMIS
https://www.kymmis.com/kymmis/Phone%20Directory/enroll.aspx
Frankfort, KY 40602-2107. Adjustments & Claim Credits ... Provider Enrollment Fax No#, 502-226-1898 ... Department for Medicaid Services Addresses
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10 Join Our Provider Network | Aetna Medicaid Kentucky
https://www.aetnabetterhealth.com/kentucky/providers/join-network.html
› providers › join-ne...
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11 Become a Participating Provider | Kentucky - CareSource
https://www.caresource.com/ky/providers/education/become-caresource-provider/marketplace/
Complete your application with supporting documents. Providers who wish to contract with CareSource® must also be credentialed. Through credentialing, we check ...
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12 Medicaid Provider Enrollment Requirements by State
https://content.highmarkprc.com/Files/InterPlanProg/bc-medicaid-prov-enroll-requirements.pdf
Enrollment is not a replacement). Requirements. Providers must have a Kentucky. Medicaid ID in order to be paid. Reference to. Requirements: KY Provider.
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13 Join Our Network - Wellcare
https://www.wellcare.com/en/Kentucky/Become-a-Provider
Please note: To become enrolled as a Kentucky Participating Provider you must obtain a Kentucky Medicaid ID Number prior to or when ...
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14 Join Our Network | KY Provider - Anthem
https://providers.anthem.com/kentucky-provider/our-network/join
Join the Anthem Blue Cross and Blue Shield Medicaid provider network in ... Credentialing is the process Anthem uses to evaluate and select licensed ...
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15 907 Ky. Admin. Regs. 1:672 - Casetext
https://casetext.com/regulation/kentucky-administrative-regulations/title-907-cabinet-for-health-and-family-services-department-for-medicaid-services/chapter-1-medicaid-services/section-907-kar-1672-provider-enrollment-disclosure-and-documentation-for-medicaid-participation
Read Section 907 KAR 1:672 - Provider enrollment, disclosure, and documentation for Medicaid participation, 907 Ky. Admin. Regs. 1:672, see flags on bad law ...
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16 UnitedHealthcare Community Plan of Kentucky Homepage
https://www.uhcprovider.com/en/health-plans-by-state/kentucky-health-plans/ky-comm-plan-home.html
Kentucky Flood Pharmacy Information. If your Medicaid member has lost their prescription due to recent flooding, emergency prescriptions are covered.
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17 2017-2022 Form KY Map-811 Fill Online, Printable, Fillable ...
https://map-811.pdffiller.com/
Fill kentucky medicaid disclosure of ownership form chfs instantly, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile. Try Now!
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18 Kentucky - CMS
https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/Provider-Supplier-Enrollment-Contacts-Items/CMS006238
A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244.
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19 Kentucky Medicaid: Provider Information - Humana
https://www.humana.com/provider/medical-resources/kentucky-medicaid
Find provider information and materials for Humana's Managed Medical Assistance (MMA) program specific to Kentucky Medicaid coverage.
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20 Passport Health Plan Providers - Molina Healthcare
https://www.molinahealthcare.com/providers/ky/medicaid/home.aspx
Are you looking to become a Passport Provider? To join our network, you must first be enrolled in Kentucky Medicaid. To enroll in Medicaid, ...
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21 Practice Consulting & Credentialing Services in Kentucky
https://physicianpracticespecialists.com/kentucky-practice-services/
Practice Consulting & Credentialing Services in Kentucky ... Submission and Monitoring of Health Review Sites; Medicaid Enrollment; DMEPOS Medicare ...
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22 Department for Medicaid Services Program Integrity Provider ...
https://medicine.uky.edu/sites/default/files/inline-files/Kentucky%20Medicaid%20-%20Provider%20Enrollment%20and%20Partner%20Portal.pdf
successfully submit electronic applications to KY DMS Provider Enrollment. Objectives: ... Kentucky Medicaid Partner Portal Application (KY MPPA).
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23 AKYPEC-0092-13A KY Provider Orientation_CMAP
https://www.transformationsllc.net/wp-content/uploads/2014/07/Anthem_Impact_Plus_Provider_Overview_edit_7-1-14__2_.pptx
KY Medicaid Coverage Area. The Kentucky Cabinet for Health and Family Services (CHFS) awarded Anthem Blue Cross and ... Anthem Medicaid Provider Enrollment.
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24 Credentialing of Medicaid Providers: Fee-For-Service (OEI-07 ...
https://oig.hhs.gov/oei/reports/oei-07-99-00680.pdf
To review States' processes for enrolling and credentialing Medicaid fee-for-service ... Kentucky. Louisiana. Maine. Maryland. Massachusetts.
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25 Kentucky Application for Provider Evaluation and Reevaluation
https://www.avesis.com/Commercial/pdf/Kentucky_Recredentialing_Application.pdf
A. Uniform Kentucky Application for Evaluation (Credentialing) and ... participation in the Kentucky Medicaid Program contact the KY Cabinet for Health and ...
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26 2021 Kentucky - Medicaid Provider Manual
https://www.wellcareky.com/content/dam/centene/wellcare/ky/pdfs/KY_Caid_Provider_Manual_Eng_2021.pdf
Covering Providers should be credentialed by WellCare, and are required to sign an agreement accepting the negotiated rate and agreeing not to balance bill ...
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27 Understanding Provider Services - IN.gov
https://www.in.gov/medicaid/providers/files/IHCP-Works-2020-FSSA-Credentialing-Workshop.pdf
Office of Medicaid Policy and Planning. IHCP Listens: Credentialing ... Credentialing - the process where a provider enrolls with and ... Kentucky (SUD.
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28 Kentucky Medicaid Provider Manual
https://cdn.ymaws.com/www.kcnpnm.org/resource/resmgr/mco/wc_provider_manual_8-22-11.pdf
Credentialing of this manual for specific guidelines regarding rights to appeal plan termination (if any). Page 10. WellCare of Kentucky, Inc. Medicaid Provider ...
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29 Medical Credentialing - Precision Medical Billing
https://precisionbillingky.com/medical-credentialing/
Credentialing Services Precision Medical Billing Lexington KY ... Medicaid, Blue Cross Blue Shield, Humana, United Healthcare, Cigna, etc.). Credentialing ...
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30 Correction: Time Frame for Credentialing and Recredentialing
https://www.welcometomolina.com/providers/ky/medicaid/comm/newsarticlepage.aspx?ArticleID=90&lob=&type=IsNewsMediaSpecial&year=All&State=ALL&ArticlePageLink=/providers/ky/medicaid/comm/newsarticlepage.aspx
Providers who require credentialing must be credentialed prior to becoming participating providers and must also obtain a KY Medicaid ID (MAID) to receive ...
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31 Kentucky Application for Provider Evaluation and Re-evaluation
https://www.multiplan.com/webcenter/wccproxy/d?dDocName=ky_init_1
For Evaluation (Credentialing) and Reevaluation (Recredentialing) of. Health Care Providers Desiring Participation in Kentucky Managed Care. Plans and the ...
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32 UnitedHealthcare Community Plan of Kentucky
https://www.uhccommunityplan.com/ky/medicaid/community-plan
Learn more about the Kentucky Medicaid Plan. Check eligibility, explore benefits, and enroll today.
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33 KY MPPA NEWS - Kentucky Medical Association
https://kyma.org/shared/content/uploads/2018/08/COMM_NewsletterSept18_PC_V5_180820.pdf
Kentucky Medicaid Partner Portal Application (KY MPPA) is a web- ... credentialing agents to complete and review applications, freeing up more.
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34 Provider Enrollment Jobs, Employment in Kentucky | Indeed.com
https://www.indeed.com/q-Provider-Enrollment-l-Kentucky-jobs.html
299 Provider Enrollment jobs available in Kentucky on Indeed.com. Apply to Customer Service Representative, Enrollment Specialist, Site Director and more!
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35 RCOM Consulting & Investigations, LLC
https://www.rancomci.org/
... Services to Kentucky's Medicaid Providers that can save them time, money, ... Professional Business Consulting and KY Medicaid Consulting/Credentialing ...
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36 Kentucky Medicaid ABA Provider Orientation
https://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/clinResourcesMain/autismABA/kyaba/kyUHCCP_ABA-Orientn.pdf
BH4138_05/2022. 13. United Behavioral Health operating under the brand Optum. Credentialing Criteria. Kentucky Medicaid. Autism/ABA Network ...
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37 Medicaid Provider Enrollment Requirements by State
https://www.premera.com/documents/036705.pdf
Medicaid Provider Enrollment Requirements by State. AS OF MARCH 1, 2016 ... Kentucky. Yes. Yes, but also must enroll with. Kentucky. (Out-of-state.
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38 Kentucky State Telehealth Laws - CCHP
https://www.cchpca.org/kentucky/
Find up to date telemedicine laws for Kentucky. Easily search by topic across Medicaid, private payer, and COVID-19 state actions.
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39 Kentucky RHC Resources February 2019
https://mark-lynn-r8he.squarespace.com/s/2019-Kentucky-Primary-Care-Association-IPA-Listing-of-Resources-Creditialling-info-and-Group-Purchas.pdf
KPCA average turnaround for obtaining a KY Medicaid ID is 22 days versus 4 to. 6 months submitting directly to the State. They have delegated credentialing.
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40 Medical Assistance (State Medicaid Program)
https://govt.westlaw.com/kyrules/Browse/Home/Kentucky/KentuckyCourtRules/KentuckyStatutesCourtRules?guid=N05C2FBD0A56711DAABB2C3422F8B1766&originationContext=documenttoc&transitionType=Default&contextData=(sc.Default)
Medical Assistance (State Medicaid Program) ... Contracts for Medicaid Services by Managed Care Organizations; Credentialing Alliance; Clean Application; ...
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41 Medicaid Provider Enrollment Requirements by State
https://www.horizonnjhealth.com/for-providers/resources/medicaid-reimbursement-and-billing/medicaid-provider-enrollment
› resources › medicai...
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42 Provider Orientation - Molina Marketplace
https://www.molinamarketplace.com/-/media/Molina/PublicWebsite/PDF/Providers/ky/medicaid/REVISED-080421-ProviderOrientationPROV04940_R_508c_rev.pdf
for their Kentucky Medicaid ID number when submitting claims to Passport. ... For questions regarding provider enrollment activities please contact:.
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43 coding and billing for telehealth in kentucky
https://glms.org/wp-content/uploads/2020/10/TelehealthCoding_1001.pdf
Medicaid – Copays waived through end of Public Health Emergency. • United Healthcare – All telehealth non-COVID-19 temporary cost share ...
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44 KY REC Tip for the Kentucky Medicaid EHR Incentive ...
https://www.kentuckyrec.com/wp-content/uploads/2021/04/Promoting-Interoperability-CPOE.pdf
Use CPOE for medication, laboratory, and diagnostic imaging orders directly entered by any licensed healthcare professional, credentialed medical.
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45 Credentialing and Contracting Services - Harding Shymanski
https://hsccpa.com/medical-billing-services/medical-billing-consulting-services-overview/credentialing-and-contracting-services/
We work with all specialties and assist with enrollment in all insurance networks (Medicare, Medicaid, and Commercial Insurance). Our credentialing solution ...
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46 Passport Health Plan by Molina Healthcare
https://www.meetmolina.com/-/media/Molina/PublicWebsite/PDF/Providers/ky/medicaid/PractitionerApplicationForm.pdf
contracted with Passport, and that approval ofyour credentialing does ... Kentucky Department of Health Licensure ... Kentucky Medicaid Number:.
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47 Medicaid Provider Portal Home - Kentucky - MedImpact
https://kyportal.medimpact.com/medicaid-provider-portal/medicaid-provider-portal-home
Search Kentucky Medicaid PDL and drug coverage status. GO TO DRUG LOOKUP. Pharmacy Locator. Search for a pharmacy to get directions or other ...
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48 Cigna Medical Network Credentialing
https://www.cigna.com/health-care-providers/credentialing/join-medical-network
Get credentialed or re-credentialed to be in-network in five easy steps. ... By applicable regulatory bodies, and the Centers for Medicare & Medicaid ...
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49 Provider Orientation - care4ahealthycommunity.org
https://www.care4ahealthycommunity.org/-/media/Molina/PublicWebsite/PDF/Providers/ky/medicaid/REVISED092921ProviderOrientationPROV04940_R_508c_rev_26821_210930-final.pdf
for their Kentucky Medicaid ID number when submitting claims to Passport. ... For questions regarding provider enrollment activities please contact:.
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50 Credentialing Specialist Job in Newport, KY at HEALTH ...
https://www.ziprecruiter.com/c/HEALTH-POINT-FAMILY-CARE-INC/Job/Credentialing-Specialist/-in-Newport,KY?jid=79ae1788914677d5
Credential providers and facilities with Medicare, Kentucky and Ohio Medicaid and private payers for medical, mental health, women's health, ...
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51 Telehealth Program - kycovid19.ky.gov - GovStatus
https://govstatus.egov.com/telehealth-program
kycovid19.ky.gov - Telehealth Program. ... Medicaid Telehealth Laws ... KRS 205.532 - Medicaid Credentialing of Health Care Providers ...
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52 Provider Enrollment - DentaQuest
https://dentaquest.com/provider-enrollment/
Medicaid Adult, Medicaid Child, Special Needs ; Chip, Medicare Advantage, Commercial ; MarketPlace ...
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53 Independent Practice Association - Kentucky Primary Care ...
https://www.kpca.net/independent-practice-association/
Contracting with Managed Care Organizations for Medicaid, Medicare Advantage and ... Organization (CVO) and Credentialing and Recredentialing (CR) Services.
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54 Humana Health Plan Kentucky Medicaid Provider Manual
https://aaomcp.com/wp-content/uploads/2020/04/Humana-Health-Plan-Kentucky-Medicaid-Provider-Manual.pdf
Humana conducts credentialing and recredentialing activities utilizing the guidelines established by the. Kentucky Department of Medicaid Services (KDMS), ...
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55 A Message from the KHA President
https://www.kyha.com/assets/docs/AdvocacyDocs/2021/2021KGASessionFinalReport.pdf
KHA also developed a market-based solution to the on-going credentialing ... KHA was also successful in amending legislation dealing with the Medicaid False ...
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56 Provider Enrollment: Check Application Status - CGS Medicare
https://cgsmedicare.com/partb/enrollment/pe_appstatus.html
Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS).
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57 Contact Information - Providers - AmeriHealth
https://www.amerihealth.com/providers/contact_information/index.html
Important Telephone Numbers ; Credentialing application corrections, Email: CredOps@amerihealth.com. Fax: 215-238-2549 ; Customer Service ; AmeriHealth HMO/POS Mon ...
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58 Medicaid Management - Gainwell Technologies
https://www.gainwelltechnologies.com/medicaid-management/
Provider Credentialing. At Gainwell, we have deep expertise ensuring state Medicaid programs are equipped with advanced provider solutions. Our Provider ...
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59 Mary Riggs - Credentialing Management - LinkedIn
https://www.linkedin.com/in/mary-riggs-0b1a4168
Tasked with centralizing credentialing operations SAFY-wide, ... Kentucky. Supervise team of 9 office managers, Medicaid specialists, and office aids.
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60 Contact Aetna
https://www.aetna.com/health-care-professionals/contact-aetna.html
Individuals & Families · Affordable Care Act · Medicare · Medicaid · Providers ... Credentialing and joining our network - 1-800-353-1232 (TTY: 711).
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61 Palmetto GBA
https://www.palmettogba.com/
Jurisdiction M. NC, SC, VA, WV. Part A Medicare Part B Medicare Home Health & Hospice · DEX MolDX® National Provider Enrollment ( ...
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62 Instructions To Applicants For Medicaid Provider Enrollment
https://www.scdhhs.gov/sites/default/files/Part%202-%20Disclosure%20of%20Ownership%20and%20Control%20Interest%20Statement.pdf
If currently enrolled in South Carolina Medicaid with multiple NPI numbers, a separate Disclosure of Ownership and. Control Interest Statement (SCDHHS Form 1514) ...
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63 Health Insurance Resources for Providers - Ambetter
https://www.ambetterhealth.com/provider-resources.html
› provider-resources
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64 Centene Corporation: Managed Care Solutions
https://www.centene.com/

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65 CareFirst Provider: Providers & Physicians Home
https://provider.carefirst.com/providers/home.page
Learn more about what partnership means to CareFirst. Provider Credentialing. Learn more with our Professional Credentialing Overview.
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66 Contact Medicare
https://www.medicare.gov/forms-help-other-resources/contact-medicare
How to contact the Centers for Medicare & Medicaid Services (CMS) by phone, TTY, or mail.
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67 Aetna Medicare | Medicare Advantage, Part D & Supplement ...
https://www.aetnamedicare.com/
Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. SilverScript is a Prescription Drug Plan ...
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68 Contact Us - Optum
https://www.optum.com/contact-us.html
... Health care delivery and management services, Interoperability, Maintenance and operations, Medicaid Management Information Systems, Pharmacy benefit ...
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69 Home | Portal
https://www.umr.com/

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70 CarePlus Health Plans
https://www.careplushealthplans.com/

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71 Elevance Health | Advancing Health Beyond Healthcare
https://www.elevancehealth.com/

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72 Change Healthcare: Healthcare Technology & Business ...
https://www.changehealthcare.com/
... Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Marshall Islands ... Credentialing Network Manager ... Medicaid Pharmacy Benefits Services.
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73 Contact Us | Office Locations - eviCore Healthcare
https://www.evicore.com/contact
... Highmark Delaware Medicaid, Highmark Medicare, Highmark New York, HIP, HMO Select - GHI, Horizon, Horizon Medicaid, Humana Healthy Horizons in Kentucky ...
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74 Contact Us | Blue Cross Blue Shield
https://www.bcbs.com/contact-us
› contact-us
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75 Careers - UnitedHealthcare
https://www.uhc.com/about-us/careers
› About us
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76 Modivcare: Home
https://www.modivcare.com/

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77 Waystar | Health Care Billing Software
https://www.waystar.com/

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78 HCA Healthcare: Giving People A Healthier Tomorrow
https://hcahealthcare.com/
... Our Care in Action · Clinical Excellence · Credentialing · CARES Act Resources ... Kentucky, Louisiana, Missouri, Nevada, New Hampshire, North Carolina ...
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79 Payspan | Healthcare Payment Reimbursement Solutions
https://www.payspan.com/
Texas Medicaid Plan Achieves 97% Adoption Rates ... PFE for Small to Medium Business · PFE for Enterprise · Provider Enrollment.
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80 March Vision Care
https://www.marchvisioncare.com/
... managed care organizations, specifically for government sponsored programs such as Medicaid, Medicare, Medicare-Medicaid Plans, and Healthcare Exchange.
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81 Providers - EyeMed
https://eyemed.com/en-us/provider
› en-us › provider
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82 Thriveworks Counseling: Find a Therapist or Psychiatrist
https://thriveworks.com/

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83 Highmark Blue Cross Blue Shield
https://www.highmarkbcbs.com/

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84 HPI | Self-Funded Health Plans
https://hpitpa.com/

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85 Careers | Maximus
https://maximus.com/careers
... following completion of your work; Quick and efficient credentialing process; VES provides upfront and ongoing training; Nationwide travel opportunities.
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86 AmeriBen
https://ameriben.com/

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87 Kentucky | Beacon Health Options
https://www.beaconhealthoptions.com/groups/kentucky/
Home / Group Lists / Kentucky. Kentucky. “More than 4,500 employees nationally, serving more than 40 million people.” “Over 260 clients, including employers ...
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88 ProviderSearch - Health Net
https://www.healthnet.com/portal/providerSearch.action
... Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland ... Medicaid. Cultural Competency Training. Cultural Competency Facility.
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89 AHCCCS News & Press Releases
https://www.azahcccs.gov/Shared/News.html
Several additions to Arizona's Medicaid benefits were approved in the last ... In April 2022, AHCCCS reinstated provider enrollment requirements that had ...
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90 Eye Care Professionals - Davis Vision
https://davisvision.com/eye-care-professionals/
What is the credentialing and recredentialing process for network practitioners? Davis Vision's selection of the most qualified ophthalmologists and ...
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91 Medico - Home
https://www.gomedico.com/

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92 Contact Us - CVS Caremark
https://www.caremark.com/about-us/contact-us.html
› about-us › contact-us
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93 Headway | Find Therapists Covered by Your Insurance
https://headway.co/

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94 Federation of State Medical Boards
https://www.fsmb.org/
Credentialing. Services for Licensing and Credentialing Professionals. Serving as the trusted provider of source-verified physician and PA data.
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