What I Need to Know

Medicaid patients cannot be balance billed for any amounts deemed not patient liability.

Because Medicaid has strict requirements that must be followed in order to remain eligible for coverage, Medicaid coverage could change from eligible to not eligible from month to month. Make sure you check eligibility for all visits.

Most states now provide online access to Medicaid eligibility verifications, claim status, Remittance Advice/EOB’s, pre authorization requests and even a claim payment system where you can bill claims directly. Simply complete the enrollment process at the state Medicaid website.

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