MaineCare Provider Enrollment Progress Update

Mar 01, 2024

Gainwell continues to reduce the number of open cases and the time it takes to complete their steps within the enrollment process. Gainwell completed 711 enrollment cases in February and the average turnaround time for case completion was 31.3 days. Case inventory decreased to 537 by the end of February and the average system age of the case in inventory is approximately 20 days old.  Providers can help the process go more quickly by responding timely to information requests.

Additionally, OMS and Gainwell are sharing the following updates:

• The three system and process enhancements related to provider enrollment referenced in the prior update are scheduled to be implemented and put into production over the next three weekends.
• Gainwell and OMS continue assessing and researching further system enhancements, such as automating facility licensure.

During the Enrollment Listening Session held on January 17, 2024, providers made suggestions to improve the enrollment case backlog. MaineCare appreciates these suggestions, and we are reviewing and discussing all of them. We will provide responses in this Provider Enrollment Suggestions document as we work through them; some suggestions already have responses. See the Provider Enrollment Presentation Follow-Up and Progress Update notice from February 13, 2024 for more information.