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ED Coding and Reimbursement Alert

Reader Question:

How to handle Medicaid patients from another state

Published on Thu Apr 19, 2012

Question: We are in St. Louis so we credential our providers with Missouri and Illinois Medicaid programs since we are so close to Illinois. We occasionally get patients from other states but our physicians are not credentialed with those out of state Medicaid programs. Does anyone else credential with out of state Medicaid programs? Do you credential all of your providers? Any information would be helpful. Missouri SubscriberAnswer: You will have to consider your individual situation to make this determination. If you practice in Texarkana or worse, near the intersection of the four corners of Arizona, Utah, Colorado and New Mexico, you might want to enroll in multiple state programs. The same can be true for popular tourist destinations. If you have only one or two out of state Medicaid patients per year, it is probably not worth the cost of completing the enrollment and credentialing paperwork for the payment [...]
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