Credentialing & Enrollment Services in Nebraska
CapitalMed Solutions delivers expert provider credentialing and enrollment services tailored to healthcare practices across Nebraska streamlining Medicaid enrollment, reducing administrative hassles, and minimizing claim denials.
Why Nebraska Providers Choose Our Credentialing & Enrollment Services?
Dedicated Enrollment via Maximus PDMS Portal: As of June 1, 2025, Nebraska Medicaid requires all provider enrollment—including new enrollments, updates, and revalidation—to be completed electronically through the Maximus Provider Data Management System (PDMS). Paper forms are no longer accepted.
Risk-Based Screening & Federal Compliance: Nebraska adheres to CMS regulations under 42 CFR 455 Subpart E. Providers are assigned a risk level—Limited, Moderate, or High. High-risk providers may require site visits or fingerprint-based background checks.
Transparent Processing & Support: The PDMS provides a clear enrollment pathway, with progress oversight from Maximus and final reviews by the DHHS Provider Relations team.
Mandatory Participation for MCOs: Enrollment with Nebraska Medicaid is a prerequisite for joining Managed Care Organizations (MCOs) like Molina and UnitedHealthcare Community Plan. Only after obtaining a Medicaid ID can providers contract with these plans.
Credentialing & Enrollment Services We Offer in Nebraska
At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Nebraska—including Omaha, Lincoln, Bellevue, Grand Island, Kearney, Fremont, Hastings, Norfolk, North Platte, and Columbus. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.
Whether requirements are national or Nebraska-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. As a trusted Medical Billing Services in Nebraska, we deliver tailored credentialing solutions for each specialty—reducing delays, preventing denials, and streamlining your revenue cycle.
Our Credentialing & Enrollment Process in Nebraska
Benefits of Choosing Us for Credentialing Services in Nebraska
Major Insurances Companies
Insurance Networks We Work With for Credentialing in Nebraska
At CapitalMed Solutions, we partner with major insurance carriers across Nebraska to ensure seamless provider credentialing and faster payer enrollment. Our relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.
Ready to streamline credentialing in Nebraska?
Contact our credentialing specialists today—let us manage your Medicaid enrollment via PDMS, support timely revalidation, and pave the way for hassle-free contracting with Nebraska’s leading MCOs—while you stay focused on patient care.
Working Hours
Monday – Friday 09 AM To 05 PM
Our Location
77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478