I work in a Substance Use Disorder Inpatient Treatment facility that has recently changed how and who we bill for State paid residents. If a patient has both Medicare and Medicaid, but Medicare will not pay because they do not cover inpatient chemical dependency treatment and we as a facility do not have a Medicare agreement, will Medicaid pay? The issue has come up because of the way we report these individuals. If we report them as Medicaid, the BHO we are reporting to is entitled to a Federal match. If we report them as Non-Medicaid, the BHO is not entitled to the Federal Match. I have not been able to get a satisfactory answer from the BHO we are reporting to and have had to change my report for the past two months three times. Any help or assistance with this would be greatly appreciated. Thank you!