How do you access a Medicaid participating physician directory?


Quick Answer

Because each state runs its own Medicaid program, obtain a list of participating providers from the Medicaid agency in your state, according to the U.S. Department of Health and Human Services. A list of state Medicaid agencies is available from the Centers for Medicare and Medicaid Services at Medicaid.gov.

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Full Answer

The American Academy of Pediatrics also offers a list of state Medicaid provider directories online at Aap.org.

Medicaid is a government-funded health insurance program offering free and low-cost health insurance to low-income persons. Each state determines its own rules and coverage options. Some states provide insurance themselves, and others subsidize the cost of private insurance for eligible state residents, reports Healthcare.gov.

To apply for Medicaid, contact your state agency directly or complete an application through the Health Insurance Marketplace at HealthCare.gov. The appropriate state agency automatically receives data when potentially eligible consumers complete a marketplace application.

Many states expanded their Medicaid coverage for low-income residents as a result of the incentives included in the Patient Protection and Affordable Care Act of 2010, but a Supreme Court ruling allowed states to decline Medicaid expansion if desired. As of November 2015, 30 states and the District of Columbia have increased Medicaid coverage, and three more are actively considering Medicaid expansion, reports The Advisory Board Company.

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