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How to Enroll a Home Care Agency in Medicaid?

If you’re running a home care agency and want to start serving Medicaid clients, getting enrolled is one of the first major steps.

But Medicaid enrollment isn’t simply a matter of filling out an application. Your agency may need to meet state licensing requirements, provide business and ownership documentation, verify caregiver qualifications, complete required screenings, set up billing and authorization processes, and meet Electronic Visit Verification (EVV) requirements for applicable services.

The exact requirements vary by state and by the Medicaid services your agency plans to provide.

This checklist covers the key requirements a home care agency should prepare for before applying for Medicaid, along with the operational steps to think through once you’re approved.

Medicaid is administered by individual states. Your state’s Medicaid agency and applicable licensing authority are the required sources for enrollment requirements, documentation, provider qualifications and reporting deadlines.

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