Payments > Insurance Payments

OUT OF STATE MEDICAID

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ellie:
Hi everyone,

if a patient had services in one state and is covered thru medicaid secondary in another state, will they pay the bill ?

Michele:
Only if the provider is participating with the Medicaid in the other state.

ellie:
Is the patient responsible for the balance due then if we are not a provider with the other state ?or is it written off ?

PMRNC:
I think it depends. I know that we have had out of state Medicaid and we have to call THEIR state to see if they will approve the out of state. I think you need to call the other state but you also need to participate with Medicaid in your state.

Pay_My_Claims:
yes we had that same situation, and medicaid would not pay, so we were able to bill the patient

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