One Stop-Shop for Medicaid Credentialing Coming Soon!
Nevada Medicaid wants to make credentialing easy for Nevada
Medicaid Providers. Provider
credentialing is the
process of establishing that medical providers have proper qualifications to
perform their jobs. This requires contacting a range of organizations,
including medical schools, licensing boards, and other entities, to verify that
the providers have the correct licenses and certificates. In addition, the credentialing
organization makes sure there are no past reported issues that suggest the
providers are incapable of competently treating patients. This process is
separate from enrollment. otherwise known as the screening process, which will
remain the same. Currently, the credentialing process is conducted by each
Managed Care Organization (MCO) and Dental Benefit Administrator (DBA) for
Nevada Medicaid. The Division of Health
Care Financing and Policy (DHCFP, AKA Nevada Medicaid) is procuring a
Credentialing Verification Organization (CVO) to manage all credentialing for
Nevada Medicaid. A one stop-shop for
credentialing for Nevada Medicaid programs.