answersLogoWhite

0

Medicaid typically does not require prior authorization (PA) for services or procedures that are billed as secondary to another payer. However, specific requirements can vary by state and the type of service being provided. It's essential to check the state's Medicaid guidelines and the primary insurer's policies for any nuances in coverage or authorization requirements. Always consult with the Medicaid provider manual or a billing specialist for accurate information.

User Avatar

AnswerBot

2d ago

What else can I help you with?

Related Questions

If you have medicare as your primary insurance how do you get your Medicaid to be the secondary?

Medicaid is always the payor of last resort. Before a Medicaid agency pays a bill for a Medicare beneficiary, they require documentation that Medicare has "adjudicated" the bill (i.e., decided whether to make payment and, if so, how much).


If a patient has Medicaid coverage benefits and other health insurance coverage Medicaid would be primary or secondary?

Secondary.


Can you collect medicare and Medicaid at the same time?

Absolutely. In such a case, Medicaid is the secondary payor.


Does medicaid require another insurance?

Sometimes. Depends upon your particular health conditions. One with diabetes, for instance, is going to need secondary medical insurance to help cover the expenses that Medicaid or Medicare do not cover completely.


How do you bill secondary Medicaid when Medicare is with an HMO?

You submit an EOB from the Medicare HMO with your Medicaid claim.


Do you obtain a authorization for secondary ins when medicare is primary?

after getting the payment from medicare (Primary) then secondary (X/Y/Insurance should pay even if there is no auth. And only this happens if secondary insurance follow medicare guidelines.


What is the birth name of Tony Auth?

Tony Auth's birth name is William Anthony Auth Jr..


Is medicaid always a primary insurance or would it be a secondary insurance?

depends


How tall is Senta Auth?

Senta Auth is 164 cm.


When is another insurance secondary to Medicaid?

Never. Medicaid is always the payor of last resort after any and all other coverage, including Medicare.


What is the auth code?

"Auth code" is an abbreviation for "authorization code."


If you have medicaid and get other insurance will medicaid drop you?

no not always, They will become your secondary ins.. Meaning your primary ins will pay and whatever patient resp is left or whatever they don't cover. medicaid takes care of that