Medicaid is government funded health insurance, generally for persons with low income. In certain circumstances, Medicaid is provided for patients with certain medical conditions regardless of family income such as developmental delays, autism, pregnancy, severe mental illness. In most cases, a patient’s eligibily must be verified or recertified on a routine basis to maintain eligibility.
When a patient is determined to be eligible for Medicaid, they are issued an identification card. In PA, this is often referred to as an Access Card. Within about 90 days, this patient must select a Medicaid HMO as their carrier. Some Medicaid HMO’s include Gateway, Unison, and UPMC 4 U. For behavioral health services, all Medicaid claims are processed through either Community Care Behavioral Health (CCBH) or Value Behavioral Health, depending upon the of residence.
In order to be paid by Mediciad, a provider must be credentialled and enrolled as a provider. Additionally, each service location covered by a provider must be independently enrolled.
0 Responses
Stay in touch with the conversation, subscribe to the RSS feed for comments on this post.
You must be logged in to post a comment.