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collecting copays from someone with Medicare and Illinois Medicaid

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cam6319:
I work in a mental health agency and am billing for a psychiatrist.  My question is this ~ The patient has both Medicare and Illinois Medicaid.  If I am going to collect a copay - which copay would I collect? 
Would I have to just collect the Medicare copay or can I collect the copay from both (medicare and illinois medicaid?)

Michele:
Each states laws regarding Medicaid vary but in NY you cannot collect from a patient with Medicare / Medicaid.  You definitely cannot collect both.  If the patient has a copay with Illinois then I believe you can only collect that.

PMRNC:
With any Medi/Medi, it's much easier to let both pay/consider and then collect any copay's from Medicaid but usually there isn't any.

KarenH:
In IL Medicare will pay forward it to Medicaid they will pay or write off and you're done there is generally no copay if there is it may be literally a few cents. Basically you can't collect in this situation.

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