Get credentialed, then get paid.
Enrollment is where most agencies stall - not because it's hard, but because one missed field costs 60 days and nobody tells you which field. We complete the applications, chase the follow-ups, and hand you a billable payer line.
Why agencies stall before their first claim
Nothing about enrollment tells you when you've made a mistake. You submit, you wait, and months later a letter explains what was wrong.
- A taxonomy or NPPES mismatch that surfaces 60 days after submission
- Picking a county whose panel is closed, and finding out after you've signed a lease
- Getting credentialed in a way that quietly breaks how you can bill later
- No one to escalate to when an application simply stops moving
- Typical VA approval, region depending
- 4–8 weeks Typical VA approval, region depending
- States we handle Medicaid enrollment in
- 25+ States we handle Medicaid enrollment in
- Application, waiver setup, MCO and CAQH included
- One flat rate Application, waiver setup, MCO and CAQH included
What happens, in order
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We check your eligibility before anything is submitted
Week 1Type 2 NPI, taxonomy, state licence, liability coverage, CAQH. We validate all of it up front, because one missing item is the difference between six weeks and six months.
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We target a market that will actually produce referrals
Week 1We check panel status and waiver funding before you commit. A closed county or an underfunded waiver program is a viable-looking path to zero revenue.
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We complete and file the applications
Weeks 2–4VA contracting through TriWest or Optum depending on your region; state Medicaid applications, waiver setup, MCO credentialing and CAQH alignment. We fill the forms, not you.
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We work the follow-ups until you are approved
Until approvedWe hold the relationships with state and federal contacts, so a stalled application gets a phone call rather than another 30 days of silence.
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You start billing on day one of approval
On approvalYour NPI setup, service codes, EVV and authorization workflows are already configured to match billing rules, so approval turns into revenue immediately.
The questions people ask at this stage
Including the ones we would rather you asked before signing, not after.
We'll audit what you've submitted, find the gaps, and take it across the finish line. Starting over is almost never necessary.
We verify panel status directly rather than trusting a rumour, and can target adjacent counties, underserved facilities, or alternate referral paths.
No. Enrollment is a service we provide, and most agencies we credential go straight into billing with us afterwards.
Four to six weeks in the fastest states. Several months where MCO contracts or waiver approvals are involved. We give you a realistic timeline before you commit, not an optimistic one.
Not quite your situation?
“I'm billing, but the money isn't showing up”
Claims are going out. Denials, aged AR and silence are coming back.
“I want to add a payer line to grow”
Private-pay is capped and you want VA or Medicaid volume.
“I'm using another biller or my AMS and it isn't working”
A generic RCM, a local biller, or your scheduling software does your claims.
Let's find out if your market is worth entering.
A 20-minute call will tell you whether the panel is open, which programs fund the care you want to deliver, and what the realistic timeline looks like.