rubybluemonkey
Guest
Hello,
We are having trouble finding regulation/terms on billing/not billing out of state Medicaid programs.
We are not located in a border town and therefore do not enroll in any bordering state Medicaid plans. We are also ancillary providers and have no direct contact with the patients prior to service, so we don't know that we will have to bill an out of state plan.
Many out of state plans are trying to tell us that we can bill their patients even though we are not enrolled providers, etc.
Can we bill these patients? Our policy has been to do so but I can't find anything that says we can or cannot one way or another.
Thanks.
We are having trouble finding regulation/terms on billing/not billing out of state Medicaid programs.
We are not located in a border town and therefore do not enroll in any bordering state Medicaid plans. We are also ancillary providers and have no direct contact with the patients prior to service, so we don't know that we will have to bill an out of state plan.
Many out of state plans are trying to tell us that we can bill their patients even though we are not enrolled providers, etc.
Can we bill these patients? Our policy has been to do so but I can't find anything that says we can or cannot one way or another.
Thanks.