Healthcare Licensing, Credentialing & Enrollment

Licensing, Credentialing & Enrollment2018-10-25T17:38:35+00:00

Healthcare Licensing and Credentialing Representation

Practically every healthcare business must be licensed by the state and enrolled and credentialed to do business with any program with which it participates.  The medical licensing attorneys at Kennedy can assist a provider with its licensing application and enrollment submissions. Renewals and revalidation are also required of many providers. Kennedy can assist a provider by fully handling an application or credentialing submission, or by reviewing an application, renewal, enrollment, or revalidation prior to submission, whether for licensing, Medicare, Medicaid, private insurance, or managed care plan credentialing and enrollment.

iStock 862725544 300x200 - Licensing, Credentialing & EnrollmentConsolidated Credentialing Verification Organization (CVO) Initiative

The Texas Association of Health Plans (TAHP) in collaboration with the Texas Medical Association (TMA) and HHSC contracted Managed Care Organizations (MCOs) are excited to announce a joint effort to reduce credentialing burdens for all Texas providers including physicians, hospitals, DME providers, facilities and all types of ancillary providers including nursing facilities and other Long-term Services & Supports (LTSS) (herein we will refer to all types as providers). Commercial MCOs are not required to use the CVO, however the goal is to expand the usage of the CVO to these MCOs. The initiative fulfills a long-time, mutual goal of the organizations to help reduce administrative barriers and costs. TAHP and TMA selected Aperture Credentialing, LLC, to manage a statewide Credentialing Verification Organization (CVO) contract used by all Medicaid and CHIP MCOs in Texas to streamline the provider credentialing process, excluding Dental Maintenance Organizations (DMOs) at this time.

Source: The Texas Association of Health Plans