How Do You Find a Doctor Who Takes Medicaid?


Quick Answer

You can find a doctor who accepts Medicaid through Physician Compare, an online tool from the Centers for Medicare and Medicaid Services, according to the Department of Health and Human Services. Physician Compare lets you browse doctors accepting Medicaid and Medicare payments.

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How Do You Find a Doctor Who Takes Medicaid?
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Full Answer

The acceptance of new Medicaid patients differs widely across medical specialties, Forbes reports. As of 2012, the specialty with the highest proportion of doctors not accepting new Medicaid patients was psychiatry, at 56 percent. The likeliest specialists to accept Medicaid patients were cardiologists: Only 9 percent of them refused to see new Medicaid patients. Some of the other specialties surveyed were ophthalmology, with 18 percent of ophthalmologists not accepting new Medicaid patients, and orthopedic surgery, with 40 percent of specialties not taking new patients on Medicaid.

Medicaid eligibility is based on both financial and nonfinancial factors, and individuals may fall into either a mandatory eligibility group or an optional eligibility group, Medicaid.gov explains. States must cover mandatory eligibility groups, but the amount of coverage provided to optional eligibility groups is up to them. Nonfinancial Medicaid criteria are concerned with an individual’s residency, immigration and citizenship status; Medicaid applicants must satisfy both state and federal requirements. For Medicaid-related purposes, income may be assessed based on actual income, standards used by other programs (such as Supplemental Security Income) or as a percentage of the federal poverty level.

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