Edit 989

Issue: A Medicaid MCO needs to be billed for services. Resolution steps

Identify your specific issue:

Does your patient belong to an MCO?

• Submit a claim to the MCO.
• Identify the MCO through the Web Tool. (Web Tool User Name and Password required)
• Watch a tutorial on how to check eligibility on the Web Tool.
• Need Web Tool access? Complete and send the Trading Partner Agreement Enrollment Form to get a user name and password.

Does your patient no longer belong to the MCO?

• Contact the MCO to have the patient's enrollment status updated.
• Resubmit claim to Medicaid FFS or other MCO.
• Identify the MCO through the Web Tool. (Web Tool User Name and Password required)
  
  • Watch a tutorial on how to check eligibility on the Web Tool.

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