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NY Medicaid

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SIbiller:
Hi...Can an LCSW in NY bill straight Medicaid? They were told that if the patient has SSI that they could. I was always under the impression that you could only bill Medicaid if it was secondary to Medicare. Please advise.

Thank You

Christy:
good question. I would like to know, too!

PMRNC:
SSI is Supplemental Security Income.. nothing to do with Medicaid.
Is the LCSW credentialed with NY Medicaid?

Christy:
It is my understanding that in NY, Medicaid will only pay a LCSW if the patient is a QMB with Medicare primary and Medicaid 2ndry.

Medicaid will cover the Medicare deductible, but usually not the coins, because it exceeds the NYS Medicaid rate.

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