Severing with NYS Medicaid program

[Alice Scott]

Question
I represent a NYS physician provider.  We have been part of the NYS MEdicaid program for the past 20 years.  We are considering voluntarily severing our participation with NYS Medicaid.  (NYS physicians who participate in Medicaid receive about $7.50/day on a inpatient E&M code or 20% of the Medicare 20% coinsurance for beneficairies that have MCare and Mcaid).
It seems to be costing us money in overhead to remain in the program.
If we severe, can we bill patients for our standard fees liek everyone else and then collect a discounted fee based on financial hardship?? or are we obligated to write-off the entire Medicaid amt??

Maria P

Answer
Hi Maria,

   We don’t blame you for feeling the need to severe from NY Medicaid.  We too are in NY and many of our providers suffer from participating.
I verified with Albany, you can not bill a patient who qualifies for Medicaid even if you are not a Medicaid provider.
Michele

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