If you are looking to grow your agency, we suggest you explore Medicaid. Medicaid is a medical insurance program for low-income people that is run as a partnership between the federal government and individual states. Many Home Care agencies participate in Medicaid because there is no shortage of clients and providers receive payment from the government, creating a stable stream of income. While primary oversight of Medicaid is performed federally, each state administers its own Medicaid program. This includes determining eligibility standards, the scope of services and the rate of payment for services. The best place to start exploring Medicaid as a referral source is by networking with other home care agencies who have first-hand experience. If you’re ready to get started, visit your state’s Medicaid portal by searching (your state) Medicaid Portal. This portal will provide all forms and instructions for becoming a provider.

HOW PAYRIGHT HELPS WITH MEDICAID

Submitting claims for Medicaid can be difficult. Medicaid billing varies state-by-state, as do its regulations and billing requirements. It is imperative to ensure that claim forms are submitted correctly and to keep abreast of the ever-changing regulations, rates, codes and other compliance related items. PayRight has certified billers who specialize in the complexity of Medicaid, claims submission and coding. Our team will ensure claims are submitted in a timely fashion, are correct and we collect payment for services you provide. When working with Medicaid, PayRight partners with you to make sure you have all the right information for your state Medicaid program or MCO provider including, but not limited to:

  • Form(s)
  • Authorizations
  • NPI Procedure codes
  • Diagnosis code
  • Bill rate

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