How Can You Find Out Whether a Doctor Accepts Medicaid?


Quick Answer

People enrolled in Medicaid can ask doctors and other health care providers if they accept Medicaid patients, reports HealthCare.gov. They can also check the website of the Medicaid health plan or program they are enrolled in to access a list of available doctors. If patients have difficulty making an appointment with a health care provider, they can call their health plan or state Medicaid office.

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Full Answer

Even if doctors do not accept Medicaid, patients may be able to temporarily receive covered services, but they need to check first with their health plan or Medicaid office, explains HealthCare.gov. The health plan phone number should be on the reverse side of the patient enrollment card, the eligibility letter, or the website of the health plan or state Medicaid agency. According to law, emergency services must accept patients in life-threatening conditions and treat them until their lives are no longer at risk, even if they do not normally accept Medicaid patients.

Patients who haven't received enrollment cards can use their eligibility letters to show proof of coverage, according to HealthCare.gov. If patients receive health services from providers who do not accept Medicaid, they can file an appeal for coverage with the state Medicaid office. The services Medicaid covers vary from state to state, but all states provide a number of mandatory benefits that federal guidelines stipulate, notes Medicaid.gov.

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