Services for Non-Profit Organizations to Accept Medicaid

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Open Door Billing will assist Non-Profits in obtaining Medicaid credentials for your mental health services, enabling you to provide care to Medicaid recipients. This will significantly enhance your capacity to serve vulnerable populations and create lasting impacts in mental health care equity. While also increasing accessibility to mental health services for underrepresented communities, particularly BIPOC and other marginalized groups.

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1. Initial Consultation: (Phase 1)

• Conduct a thorough consultation with the Non-Profit to understand your services, target population, and Medicaid requirements.

• Assess current provider licenses, qualifications, and compliance with Medicaid standards.

• Develop a customized credentialing plan based on your organization’s needs.

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2. Application Preparation: (Phase 2)

• Collect and organize necessary documentation for Medicaid credentialing (e.g., licenses, insurance, proof of non-profit status).

• Complete Medicaid enrollment forms for each provider or the organization, as required.

• Ensure that all applications meet Medicaid’s specific requirements for mental health services.

 

3. Submission and Follow-up: (Phase 3)

• Submit all applications to Medicaid agency 

• Track and monitor the progress of each application, addressing any additional information requests or discrepancies in real time.

• Provide regular updates to the non-profit on the status of credentialing.

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4. Provider Education and Training (DCHS)

• Offer training sessions to Non-Profit staff on Medicaid billing, compliance, and documentation.

• Educate mental health providers on service guidelines and necessary documentation to maintain Medicaid eligibility and avoid denials.

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5. Post-Credentialing Support (Phase 4)

• Provide support to non-profits once credentialing is complete, assisting them with billing and coding for Medicaid services.

• Offer guidance on Medicaid claims submission, denial management, and appeals to maximize reimbursement.

• Facilitate understanding of Medicaid-specific audits and compliance checks.

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In conclusion Non-Profits will be equipped to offer Medicaid-funded mental health services to your target communities. BIPOC and underrepresented populations will gain greater access to mental health care. Non-Profits will increase their sustainability by diversifying their funding through Medicaid reimbursements.​​

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