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Medicaid Insurance 

 
General Overview

Medicaid Insurances are sponsored by each state.  Each of the states in the US has various programs to help those who cannot afford insurance to get coverage to pay for the medical expenses.  Certain groups of people, such as children under 18, have more access to medical insurance through their respective states.  For more information on what kind of medicaid insurance programs are available in your state you will need to go their respective websites and read up.  Generally the program's websites can be found by going to your favorite search engine and putting the your state's name and medicaid.  The states departments are usually called Health and Human Rehabilitation, Department of Community Health,  or Department of Childrens and Families.

 
Medical Billing Considerations

In order to be paid by any State Medicaid plan you must be a Medicaid provider.  They do not generally accept claims from providers in their own state without being a provider.  Then you will need a referral for HMOs and/or precertification number for most all services other than emergency care.  The patient will not have a co-pay or a small one for most services.  For those emergency medical services obtained out-of-town you may be able to send in a paper medical claim to the state in which the patient has Medicaid.  Your medical billing office will probably have to send in medical records with the claim for review of the billing and you will have to accept their "Allowed Amount" for services as payment-in-full.