Who Needs This
State Medicaid agencies, managed care organizations, enrollment and fiscal-agent vendors, and program-integrity contractors.
How It Works
- The client sends the provider list with locations and visit requirements.
- Visits are routed by geography to professional representatives.
- The professional representative confirms the facility is operational, records signage, hours of operation, services observed, and provide site photographs.
- Medical Site Reports are quality-reviewed and delivered in the client's requested format.
- Results feed the client's enrollment or revalidation decision.
What You Receive
A customized Medical Site Visit Report with photos, GPS location stamped, date-time stamped visit confirmation, and findings and discrepancies from the enrollment record.
What NCCI does not do
NCCI documents the site visit with vital information. Eligibility and enrollment decisions stay with the agency or plan.
Frequently Asked Questions
Why do Medicaid providers get site visits?
Federal Medicaid screening rules require site visits for providers categorized as moderate or high risk, before and after enrollment.
Can you handle many states at once?
Yes. Medical Site Visits are routed by geography across all 50 states and Puerto Rico.
NCCI Services (National Creditors Connection, Inc.) has been operating since 1992, with 1,000+ professionals in all 50 states and Puerto Rico. SOC 1 Type 2. Call Us Today (800) 300-0743.