Medical Billing Forum

General Category => General Questions => Topic started by: avanish on December 10, 2009, 07:12:33 AM

Title: Medicaid Non Participating
Post by: avanish on December 10, 2009, 07:12:33 AM
Hi,

My question "Is it possible for a provider to be participating with Medicaid in one state and non participating in another for ex participating in Nevada and non participating in Arizona.

Thanks,

Avanish
Title: Re: Medicaid Non Participating
Post by: Michele on December 10, 2009, 07:28:12 AM
Is the provider rendering services in both states?
Title: Re: Medicaid Non Participating
Post by: avanish on December 10, 2009, 07:47:47 AM
No the provider is rendering services in one state only.  The patients are from different states.
Title: Re: Medicaid Non Participating
Post by: Pay_My_Claims on December 10, 2009, 02:02:43 PM
Yes, you can be par with one, but not the other. Most providers don't par with out of state medicaid, unless they see a lot of clients (bordering states) It is usually hospitals that will be a par provider with another states medicaid.