Blog

MaineCare Provider Enrollment Progress Update

The MaineCare third party enrollment vendor, Gainwell Technologies, continues to reduce the number of open cases and the time it takes to complete their steps within the enrollment process. Gainwell completed 711 enrollment cases in February and the average turnaround time for case completion was 31.3 days. Case inventory decreased to 537 by the end of February and the average system age of the case in inventory is approximately 20 days old.  Providers can help the process go more quickly by responding timely to information requests.

Additionally, OMS and Gainwell are sharing the following updates:
• The three system and process enhancements related to provider enrollment referenced in the prior update are scheduled to be implemented and put into production over the next three weekends.
• Gainwell and OMS continue assessing and researching further system enhancements, such as automating facility licensure.
 
There was a listening session held on January 17th. MHCA participated in this session and provided numerous suggestions for improvement of processing backlogged claims. To review a list of provider enrollment suggestions, click here. Also, a response to questions document can be found here. 

Staff contact: awesthoff@mehca.org

Calendar

View Calendar