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Provider Solutions

Enhancing outcomes by removing barriers to care, reducing friction, and optimizing cost efficiencies.

A smiling doctor in a white coat holds a stethoscope up to the heart of a pre-teen girl patient who is smiling as her mother in a green shirt smiles in the background.

Simplifying Medicaid for Providers. Strengthening Care Networks.

Our modular solutions empower Medicaid agencies to deliver seamless, efficient experiences for providers. By streamlining screening, enrollment, and ongoing management, we help reduce administrative burdens and foster stronger provider participation. With tools that improve data accuracy, simplify credentialing, enable self-service updates, and enhance responsive contact center support, agencies can elevate provider satisfaction and build more resilient care networks.

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15 Minutes

Application Completion Time

24 Hours

Approval Turnaround

90%+

First Pass Application

Provider Screening

Streamline processes with automated screening and workflow review tailored for state policies.

Provider Enrollment

Take the complexity out of enrollment and improve provider participation with a dynamic online application that meets state program requirements.

Provider Management

Make managing provider data simple with a single source of truth for monthly screenings and revalidations.

Provider Portal

Improve provider experiences with a self-service tool for updating state Medicaid information for easier revalidation and directory accuracy.

Provider Credentialing

Drive efficiency with an NCQA-accredited, centralized solution credentialing Medicaid providers on time across MCOs.

Customer Experience

Personalized, seamless, and omnichannel interactions with contact center staff equipped with state-of-the-art technology and training.

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Additional solutions making healthcare more efficient and effective.

Medicaid Enterprise

Modernizing claims, encounters, and financials with intelligent automation and interoperability through Gainwell Enterprise™.

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Care Quality

Enabling quality care and affordability with strategies that balance empathy and efficiency.

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Data & Analytics

Transforming your most complex data into actionable insights with Gainwell Genius™.

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Actionable insights that
empower healthcare progress.

We’re passionate about delivering ideas that can help shape the future of
healthcare, using education and transparency to improve health outcomes for all.

Empowering Providers, Powering Medicaid - A Playbook for Friction-Free Provider Experiences

Empowering Providers, Powering Medicaid – A Playbook for Friction-Free Provider Experiences

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An individual in a blue shirt holds a digital stylus while using a tablet with charts and graphs while also using a digital calculator

Elevating Experiences Across Health and Human Services Programs

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Accelerating Provider Enrollment in Vermont

Accelerating Provider Enrollment in Vermont

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How can we support you?

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