Pro Credentialing– Tips, Tricks, and Benefits

Completing the emomed.com provider application is easy, and here are some helpful tips to ensure you navigate it like a pro.

Make a Game Plan.

It’s beneficial to identify which payors you want to partner with before starting the credentialing process.

If you aren’t sure which payors are right for your practice, read our previous post to learn more about Missouri dental Medicaid payors, who they serve, and how they can benefit you.

Streamline Your Process.

Certain documents must be sent along with your application, and gathering these before enrolling makes for quicker submission.

When applying as an individual, you will be asked to provide:

• Copy of Provider License or Social Security Card
• Title XIX Participation Agreement
• Business Organizational Structure Form
• EFT Document
• Voided Check or Bank Letter

If you are also enrolling your group or practice, you will need to provide:

• Group (Type II) NPI number
• Tax ID Number or EIN
• Medicare ID number - Application fees can be waived if your practice is enrolled with Medicare
• Payee Information
• Bank Information

Starting Your Application. 

Begin your enrollment by visiting emomed.com and starting the “New Provider Enrollment Application”. Make sure you are using a non-AOL browser to complete your application.

For providers that have previously credentialed with dental Medicaid, you will either need to revalidate or re-enroll. Revalidations must be done within 5 years of initial enrollment or previous revalidation, otherwise, you will need to re-enroll.

To check your provider status, log into your MOHealthNet account, or contact Missouri Medicaid Audit and Compliance (MMAC) at MMAC.Revalidation@dss.mo.gov, or call (573) 751-5238.

Avoid Application Rejection.

Incomplete forms, missed details, and other minor issues can lead to rejection. It’s best to take your time, read carefully, and double-check each step to avoid incomplete forms and inaccurate information.

If you can’t complete your application in one sitting, don’t worry! You can save your progress and return later. Be sure to note your PIN so you can access your application again easily.

Providers are often rejected due to incomplete faxed submissions. To avoid this, remember to

• Ensure all pages are sent in a single transmission and oriented the same way.
• Check that the fax number has disconnected before redialing for a second transmission.

Finishing Up.

Once you’ve completed your submission, you should receive your MO HealthNet approval within six weeks. But before you move on, there are a few things you can do to make the most of the enrollment process.

Be sure to follow up with MMAC via email 2 days following your submission at mmac.providerenrollment@dss.mo.gov to ensure they received your full application, including your NPI as a reference.

To enroll with Managed Care Plans, providers must contact the payors directly and sign a contract with them. Application approval takes anywhere from 30 - 60 days, so timely submission is important.

Need More?

For more detailed guidance on the enrollment process for Traditional Medicaid and Managed Care Plans, read MO HealthNet's Provider Enrollment Guide.

Your Medicaid Mentor – Jessica Emmerich, is here to offer you support. Reach out through email, or give her a call at 573-536-2474.