Credentialing is one of the most critical steps for healthcare providers trying to bill Medicaid, or participate in managed care networks like Anthem Medicaid KY. RCOM Consulting provides hands-on support for provider credentialing, enrollment, and recredentialing across Kentucky.

Whether you’re launching a new practice, adding a location, or facing a revalidation deadline, we make the credentialing process easier, faster, and more accurate.

What We Help With

✅ KY Medicaid Provider Enrollment

• Step-by-step guidance on enrolling with the Kentucky Medicaid Program (KMAP)

• Help completing application forms, gathering documents, and avoiding common errors

• Navigation of provider type codes and appropriate licensure/ownership documentation

✅ Managed Care Organization (MCO) Credentialing

• Support with MCOs like Anthem Medicaid KY, Aetna, WellCare, and others

• Understanding each payer’s timelines, required documents, and portal processes

• Follow-up and tracking for delays or incomplete submissions

✅ Recredentialing & Revalidation

• Monitoring deadlines and alerts for Medicaid and MCO revalidations

• Assistance gathering updated licenses, CLIA, liability coverage, etc.

• Guidance on avoiding deactivation or suspension due to late filings

• New KY Medicaid providers starting solo or group practices

• Established providers expanding services, locations, or staff

• Waiver agencies or behavioral health groups working with MCOs

• Out-of-state providers entering the KY Medicaid network

Why RCOM for Credentialing?

• In-depth knowledge of KY Medicaid systems, policy, and MCO variations

• Proactive communication with clients—we stay on top of timelines for you

• Reduced errors, delays, and rejections through guided document prep

• Trusted by providers and agencies across Kentucky

Need help credentialing with KY Medicaid or Anthem?
Let RCOM handle the paperwork, deadlines, and communication—so you can focus on care.