Delaware Island Medicaid Billing For Home Care Providers

Medicaid is a high-volume market for home and community-based care, but it often comes with strict EVV compliance requirements and payer-specific billing rules. Paradigm streamlines the process—automating claims, preventing denials, and ensuring your agency gets paid on time.

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Frequently Asked Questions

Do I need to enroll with each Medicaid MCO separately if my state has multiple MCOs?

Yes—if your state contracts with multiple Medicaid managed care organizations, you generally need to credential with each one individually to bill for services.

Do I need a separate Medicaid ID to bill for waiver services?

In most states, the same Medicaid provider ID is used for both state plan and waiver services, but some states may assign a separate ID or require an additional enrollment step.

How long does Medicaid credentialing general take for a home care provider?

A common timeframe is 60–120 days, though the exact timeframe varies by state and can be longer if applications are incomplete or require corrections.

How does a home-based care provider get credentialed to bill Medicaid?

You must apply through your state Medicaid agency, typically by completing a provider enrollment application and submitting required documentation such as licenses, background checks, and insurance. Some states also require training or orientation specific to HCBS waivers.

How Paradigm can Help

Paradigm offers a combination of tech and highly skilled people to bridge the gaps in:

Billing Automation

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Authorizations
& Eligibility

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Enrollment &
Credentialling

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Revenue Visibility

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Growth Coaching

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Get in Touch

We don’t stop at submission. We scrub claims, verify all.

Schedule a Call

From Paradigm Clients

"Paradigm has been a tremendous help for managing and growing my business. They are the payer gurus in this industry.”

Mike Gibson
Griswold Home Care

“Prior to partnering with Paradigm, our VA billing was an ongoing stressor in the office. Working with Paradigm was the best choice we could have made.”

Amy and Jeff Peck
Synergy HomeCare

“We’re growing quickly. . . using Paradigm has taken a lot of work out of our hands and the customer service response time is fantastic.”

Karcher Argyle
Select Home Care

"Paradigm make the process incredibly simple and efficient, especially when we have any type of billing issue. I don't know if I could handle our VA caseload if it wasn't for them!"

Allison Negri
ComForCare

“I’ve been using Paradigm for two years now. They are very responsive and have EXCELLENT customer service. I highly recommend them.”

Melanie Nagy Mahran
Owner/Director, Visiting Angels

"In the past, some payments would show up 2-3 months after services were provided; with Paradigm in place, all VA payments arrive just a week after billing is concluded."

Alex Shenker
Senior Helpers

“Paradigm makes my life so much easier with automated billing. Gives me time to focus on other critical areas.”

Karen Straehle
Owner, Home Helpers of Norwood

"Paradigm handles all of our current billing; our claims are submitted timely and correct. Most importantly, we're being paid quickly and accurately for our work!"

Julie Mejia
Nu Care

Launch your Delaware Medicaid revenue stream