Get Contracted With MCOs and Start Billing Medicaid
MCO enrollment is one of the most complex — and most valuable — steps for a home care agency. We've navigated this process across multiple states and will guide you through credentialing, contracting, and compliance.
End-to-End MCO Contracting Support
MCO Credentialing
We manage the credentialing and enrollment process with Managed Care Organizations in your state.
Medicaid Waiver Enrollment
Navigate state Medicaid waiver programs — HCBS, CDPAP, PCA, and others — with expert guidance.
Contract Review & Negotiation
We review MCO contracts for rate adequacy, compliance requirements, and unfavorable terms before you sign.
Rate Optimization
Identify opportunities to maximize your reimbursement rates and billing efficiency across payer sources.
Referral Source Development
Build relationships with hospital discharge planners, social workers, and case managers who refer clients.
Compliance & Audit Support
Prepare for MCO audits, maintain documentation standards, and respond to compliance inquiries.
MCO Contracts Are Your Revenue Foundation
Agencies with strong MCO relationships have predictable, recurring revenue streams that are far more stable than private-pay alone. Getting contracted early — and getting the right rates — can define your agency's financial trajectory for years.
- Multi-State MCO Experience
- Medicaid waiver program expertise (HCBS, CDPAP, PCA)
- Rate negotiation and contract review
- Ongoing compliance and audit support
- Referral source relationship development
Ready to Expand Your Payer Network?
Each state has different MCO structures, waiver programs, and enrollment timelines. We know the nuances — book a free call to discuss your state.
Start the ConversationReady to Get MCO Contracted?
Schedule a consultation to discuss your state, your current payer mix, and the fastest path to MCO enrollment.
Schedule Consultation