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Pediatric Coding Alert

Reader Question:

Be Diligent With Medicaid Forms

Published on Thu Aug 18, 2011

Question: We are not listed with the Medicaid system in our state as a participating Medicaid provider, but we do choose to see Medicaid patients on a case-by-case basis (for instance, if a longtime patient moves to Medicaid from a private plan). However, we are having some issues getting Medicaid to put us on record as the primary care provider. Can you provide any advice for how to make this happen in a timely manner?Arkansas SubscriberAnswer: Medicaid rules vary by state, but in most cases, your patient's parents will have to get a form from their Medicaid caseworker. As the pediatrician, you'll have to fill out your portion of the form and sign it so it can be submitted to Medicaid and you can get on record as the primary care physician of record.In some cases, the patient's parents won't take care of the form, or the caseworker will say [...]
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