Info Sheets

Provider Portal

Gainwell’s self-service portal streamlines healthcare operations for providers and administrators, offering access to round-the-clock support.

Provider Management

Streamline provider enrollment, relations and contracting with Gainwell’s integrated commercial-off-the-shelf module.

Provider Enrollment Screening

Gainwell's Provider Enrollment & Screening solution simplifies clinician enrollment, meets federal requirements and offers cost-saving features for Medicaid agencies.

GainwellGo™

Discover the innovative digital solution providing Medicaid members with easy, secure access to their health data. See how GainwellGo is enhancing patient experiences while reducing costs for states.

Audit & Quality Management

Take the stress out of audits and build quality assurance and control in your processes. Gainwell's Whole Person Service Audit & Quality Management helps agencies manage audit findings. Discover now.

Early Intervention Family Portal Overview

Discover an innovative early intervention family portal that empowers caregivers of children with developmental delays. Track progress, access resources and communicate with ease. Learn more now.

FraudCapture®

Gainwell Technologies uses cutting-edge tech to deliver future-ready fraud solutions. We combine innovation & experience to provide value beyond the margins of today's healthcare landscape.

At A Glance - Gainwell Technologies

Gainwell Technologies is the leading provider of digital and cloud-enabled solutions to health and human services programs, supporting 56 million Medicaid beneficiaries.

Preferred Drug List Management

Our dynamic and forward-looking approach to developing Preferred Drug Lists can help you reduce overall pharmacy expenditures and provide the best clinical value.

Pharmacy Point-of-Sale

Our Pharmacy Point-of-Sale solution can help you control budget spend and administrative resource time while meeting federal and state requirements.

Provider Solutions - Provider Credentialing

Centralized provider credentialing gives states control over the credentialing process, allowing enrolled Medicaid providers to be credentialed only once, saving money and reducing abrasion.

Pre-payment Solutions

Gainwell's pre-payment solutions are comprehensive, compliant & configurable. See how we can help your organization minimize abrasion, alleviate administrative burden, and reduce claim spend.

Enterprise Data Warehouse

Our centralized, cloud-based platform gives you the power of master data management, business intelligence & transformational analytics offerings that range from basic to advanced predictive modeling.

PHE Unwinding - Whole Person Service

Eligibility Verifications

Gainwell's comprehensive eligibility verification solutions include dependent eligibility, pension beneficiary, point of enrollment, working spouse provision, residency & non-smoking verifications.

Residency Verification - Eligibility Verifications

Our residency verification solution prevents future erroneous payments through the identification of non-residents. Learn how.

PHE Unwinding - Analytics

We're committed to helping you and your staff efficiently navigate the redetermination process - ensuring the vulnerable populations you serve maintain access to the care they need after the PHE.

Claims and Encounters Analytics - MCO Analytics

Our MCO Analytics solution helps organizations decipher meaningful data insights so they can make decisions that increase productivity and improve outcomes.

PHE Unwinding - Audit and Quality Management

Implementing an audit and quality management strategy can help you ease administrative burden and get ahead of the curve as the PHE comes to an end. Learn how we can help.

Pre-payment Solutions - COB Data Management for Government Programs

Our COB Pre-payment Solutions offer comprehensive, CMS-certified and configurable features to advance your data management. Reduce administrative burden and proactively avoid cost.