Credentialing Services
Get Credentialed. Get Paid. Stay Enrolled.
MCO credentialing is one of the most time-consuming parts of becoming a Medicaid provider. We handle every detail so you can start billing sooner and without costly errors.
MCO Network Participation Applications
Complete application preparation and submission to managed care organizations in any state.
- MCO research & selection
- Application preparation
- Submission management
CAQH Profile Setup & Maintenance
Full CAQH ProView profile creation, verification, and ongoing maintenance.
- Profile creation
- Primary source verification
- Re-attestation management
Provider Directory Management
Ensure accurate representation in all MCO provider directories across networks.
- Accuracy audits
- Update submissions
- Network status tracking
Re-credentialing & Renewals
Proactive management of credentialing renewals to prevent network participation lapses.
- Deadline tracking
- Document refresh
- Timely resubmission
Contract Negotiation Support
Expert assistance reviewing and negotiating MCO participation contracts and rates.
- Rate analysis
- Contract review
- Negotiation strategy
Denial & Appeals Management
Comprehensive support addressing credentialing denials and filing successful appeals.
- Denial analysis
- Appeal preparation
- Resolution tracking
200+
MCOs Nationwide
1,800+
Providers Credentialed
45 days
Avg. Enrollment Time
96%
First-Pass Approval
Choose Your Support Level
Flexible packages designed to meet your agency's specific needs.
Frequently Asked Questions
WCG Platform
Tools & Resources
Everything you need to navigate Medicaid waivers — in one place.
Wizard Tool
Start any Medicaid Waiver program in any state—with clarity and confidence.
Provider Enrollment App
Navigate Medicaid enrollment across all 50 states—in one smart tool.
Policy Center
State-compliant policy manuals—customized, audit-ready, and delivered in 24 hours.
FIND by Waiver Group
Search any state, any waiver, any service—instantly.
Help Center
Instant answers and step-by-step guides — whenever you need support.
Waiver Academy
On-demand training built for providers, powered by compliance.
Client Portal
Your personalized hub for projects, progress, and provider success.
Waiverlyn (Chatbot)
Ask Waiverlyn anything—your AI-powered guide to waiver success.
Blog
Insights that simplify compliance and elevate your waiver strategy.