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Medicaid has now resumed revalidation for providers. Affected providers may contact the Gainwell Provider Enrollment Unit at 1-888-223-3630 and speak to a Provider Enrollment Specialist. To learn more about the revalidation process please scroll to the bottom of this page.
Provider Enrollment Forms and Information. A variety of online and paper forms are available to providers wishing to enroll or revalidate. For help enrolling as a Medicaid provider, contact 1 (888) 223-3630 or (334) 215-0111.
The system requirements and notes below are provided to assist in ensuring the best possible user-experience while working in the Provider Enrollment Portal: - Microsoft Edge browser. - Mozilla Firefox 2.0 and later.
Any physician or dentist who is licensed in the State of Alabama may become a Medicaid provider. All providers must apply to provide services to Medicaid recipients. Some provider types have additional requirements that must be met in order to enroll as a Medicaid provider.
A provider of medical services (including an out-of-state provider) who wants to be eligible for Medicaid reimbursement must complete the required Medicaid provider enrollment application and enter into a written provider agreement with the Alabama Medicaid Agency.
A change in the Medicaid Provider ID will require an additional Medicaid application. If you have questions, please call Gainwell Provider Enrollment Department at 1 -888-223-
Provider Enrollment. If you are a provider of medical services and wish to receive Medicaid reimbursement you must complete the required Medicaid provider enrollment application and enter into a written provider agreement with the Alabama Medicaid Agency.
The secure site gives providers, clerks and billing agents the opportunity to view Claim and Prior Authorization status as well as Eligibility Verification inquiries and to upload and download standard X12 and NCPDP transactions.
with MEDICAID rules regarding providers practicing under physician supervision. Claims must be submitted in the manner and in the form set forth in the Alabama Medicaid Provider Manual, and within the time limits established by MEDICAID for submission of claims. Claims for payment or
As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate ...