Michigan Medicaid Spend down
Does anyone have clear information/understanding on exactly how the Michigan Medicaid Spend down works? I have searched the MDCH website without much luck. Our office understands the spend down to work like this: a patient comes to the doctor, shows as spend down in CHAMPS so we charge pt pay rates, the pt turns in our bill (and any others) to meet their required spend down amount and their caseworker makes the Medicaid active AS OF THE DATE the receipts are turned in and accepted - they do not retro the effective date. I have a patient that has called numerous times trying to tell me that in her case the effective date will be retroactive to the beginning of the month (whatever month that may be). This pt wants an appt but doesn't want to pay at the time. I have asked the pt to get a letter from her caseworker stating that the effective date will be made retro but I have not seen one as of yet. I was curious how other offices handle these types of situations.
Thanks for any input and HAPPY FRIDAY!
Leandra Tufts, CPC, CEMC, COBGC