Medical Billing Forum

Billing => Billing => : SIbiller January 29, 2015, 10:27:39 PM

: NY Medicaid
: SIbiller January 29, 2015, 10:27:39 PM
Hi...Can an LCSW in NY bill straight Medicaid? They were told that if the patient has SSI that they could. I was always under the impression that you could only bill Medicaid if it was secondary to Medicare. Please advise.

Thank You
: Re: NY Medicaid
: Christy February 26, 2015, 06:12:03 PM
good question. I would like to know, too!
: Re: NY Medicaid
: PMRNC February 26, 2015, 07:41:03 PM
SSI is Supplemental Security Income.. nothing to do with Medicaid.
Is the LCSW credentialed with NY Medicaid?
: Re: NY Medicaid
: Christy February 26, 2015, 07:56:04 PM
It is my understanding that in NY, Medicaid will only pay a LCSW if the patient is a QMB with Medicare primary and Medicaid 2ndry.

Medicaid will cover the Medicare deductible, but usually not the coins, because it exceeds the NYS Medicaid rate.