In Illinois, if the provider did not accept the patient as a Medicaid patient, the provider may bill the patient.
In some states, you cannot bill the patient if you accepted her/him as a Medicaid patient.
Medicaid may deny a claim for any one of a number of reasons: submitted too late; service not covered or needs prior approval; clerical error such as procedure code doesn't match description of service, etc.When this happens, you are responsible for the bill. However, in Illinois and perhaps other states, you may ask Medicaid to review the bill. In Illinois, you are not responsible for a bill if the provider accepted you as a Medicaid patient and Medicaid denied the claim due to the provider's error(s).
If you're an active, enrolled Medicaid provider, it is only legal in Minnesota to bill the patient for services not covered by Medicaid. If it's a covered service, they're a covered recipient and you're a covered provider, you must accept Medicaid payment as payment in full
In Illinois, a provider who accepts a patient as Medicaid cannot bill that patient for anything for which Medicaid would have paid had the provider timely and properly billed Medicaid.
No.
Except for co-pays, Medicaid payment is generally considered payment in full.
A doctor or other provider who accepts you as a Medicaid patient (i.e., agreed to bill Medicaid for your care) is required to accept Medicaid's amount as payment in full. (However, you might have a co-pay.) In Illinois, a provider who accepts you as a Medicaid patient cannot demand payment from you if Medicaid does not pay due to the doctor's failure to bill Medicaid timely and properly. Your State might have a similar rule.
yes
Probably not, but if the hospital accepted you as a Medicaid patient you should not be liable for their delay.
Yes, for emergency coverage.
Yes, if the physician accepted the individual as a private-pay patient.
A provider is not required to accept Medicaid or private insurance. However, if the provider indicated to you that s/he was doing so in your case, there's at least an ethical problem. In Illinois, a provider who accepts a patient as Medicaid cannot bill the patient if Medicaid fails to pay due to the provider's negligence in billing.