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Medicaid

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camedbill:
Does anyone know if a Medicaid provider can accept cash from a Medicaid patient for a service that Medicaid doesn't cover?  or is the provider not allowed to by contract?

Michele:
Medicaid is state sponsored so the laws vary from state to state.  You need to check your state laws.  Also, is it a service that is never covered? Is the provider a Medicaid provider, but this particular service isn't covered?

In NY, you can bill a Medicaid patient for services that are not covered if the patient is made aware and agrees to pay PRIOR to the services being rendered.

camedbill:
I check with California Medicaid and it is same as you have stated.  Thank you!

BREWERBILLING:
I am in Alabama. Toward the end of the year we run into Patient's who have run out of Medicaid visits. We were told we could bill/charge them for the standard self pay office visit but nothing more.  We tell our patients this up front because we collect up front most of the time in that situation. Anything else we cannot bill them for. If we give them a breathing treatment and Medicaid denies -- we cannot bill them for anything.  Definitely check with you MD office for specifics, but that is what AL allows.

midwifebiller:
You can charge your patients for services that are NOT covered by Medicaid.  But, in order to do this, they need to sign a document before services are rendered.  The doc has three parts:
1. I (patient) understand these services are not covered by Medicaid;
2. I want/need these services;
3. I agree to pay out of pocket for these services.

As long as you have this signed doc on file, your backside is covered.

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