Wiki Medicaid Enrollment guide?

[DeBillingTater]

Hello everyone,

Does anyone have any experience in getting a practice setup with Medicaid? If so, what kinds of things should we be on the lookout for? Is there a guide you can recommend to review?
We're a small 15 provider group and we want to get enrolled, but just don't have the knowledge quite yet on billing/managerial side of things.

Here's some of the points we've come up with so far:

• Group enrollment, and then providers?
• EDI Clearinghouse enrollment?
• EFT payments are required – How easy is reconciling payments? Are recoupments difficult to reconcile with EFT's?
• Update Fee schedules for the plan in the EHR– ideally would bill them for contracted rates and not have to write down? (or still bill the same rate that goes for all insurances and do contractual write-downs?)
• Make sure all admin staff have delegate access to all providers within the group?
• Inspection/Accreditation Requirements?
• Clinical documentation requirements?
• Will we need to track RVU’s? Any other required reporting? (we don't currently track RVU's)
• How to deal with closed/managed care network access (Kaiser Medicaid as an example)
• Who will be responsible for ensuring that we uphold the No Surprises Act/provide ABN?

If there's anything else you have to add, please post in here! I would like to document our entire process and then one day post a detailed guide. Any information helps!