Understanding Medicaid Plans

Medicaid plan info:

These plans are similar to capitation plans because you submit procedures at a reduced fee rather than write off adjustments.

If most services in each procedural class require the same copayment:

  1. Select Cov’d.

  2. Type the amount in the Copay field on the Coverage tab of the Insurance Plan window.

If only a few procedures are covered within a procedural class:

  1. Deselect Cov’d.

  2. Enter the covered codes in the plan’s bluebook.

 

Related Topics

Estimating Insurance for Medicaid Plans