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Credentialing and enrollment blog
CAQH, PECOS, payer enrollment, revalidation and the gaps that stop payment.
9 posts, newest first, from the Remitwright medical billing blog. Each one works through a hypothetical example and lists its sources.
Posts in Credentialing and enrollment
- Credentialing and enrollmentCAQH is now DataSpring: what changes for your Provider Data Portal profileCAQH became DataSpring on June 7, 2026 and caqh.org now redirects to dataspring.com. What stays the same in the Provider Data Portal and what to re-check.Updated Read
- Credentialing and enrollmentCAQH profile maintenance: the attestation cycle, what goes stale, and a quarterly routineCAQH profile maintenance: the reattestation cycle, the fields and files that go stale between attestations, and a quarterly routine to keep it current.Updated Read
- Credentialing and enrollmentMedicaid managed care enrollment, plan by plan: why each MCO is its own applicationMedicaid managed care enrollment is one state enrollment plus a contract with each MCO: the order, how states hand off, and the portal trail to keep.Updated Read
- Credentialing and enrollmentMedicaid revalidation every five years: the federal rule and the state notices to watch42 CFR 455.414 makes states revalidate every Medicaid provider at least every five years. How notices arrive, what a lapse costs and how to track them.Updated Read
- Credentialing and enrollmentThe weekly credentialing status report: what to track for every pending applicationPending applications fail quietly. A weekly credentialing report tracking each payer, submitted date, last follow-up, effective date and claims on hold.Updated Read
- Credentialing and enrollmentHome health enrollment changes in the 2027 proposed rule: ownership changes, revocations and what to keep currentThe 2027 home health proposed rule adds retroactive revocation and denial grounds tied to ownership changes and license suspensions. What to update now.Updated Read
- Credentialing and enrollmentAddress or practice change? Keeping NPPES, PECOS and the Provider Data Portal in syncA practice move or new tax ID touches NPPES, PECOS, the Provider Data Portal and every payer file. The update order and the denials when one lags.Updated Read
- Credentialing and enrollmentMedicare revalidation: finding your due date and what deactivation costsMedicare posts revalidation due dates seven months ahead and sends notices three to four months before. How to find yours, and what a missed date costs.Updated Read
- Credentialing and enrollmentRe-credentialing with a new NEMT broker: driver files, vehicle records and the clockWhen a state picks a new NEMT broker, providers re-credential: Medicaid enrollment, driver files, vehicle records, insurance. The packet and the timeline.Updated Read