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Filing a Claim with Medicaid

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Know Your Type of Business in Order to Know How to File

Who You Are Affects How You File - Institutional Claims versus Professional Claims

The type of claim you file for payment varies by how you are classified as a provider. Know your provider type in order to know how to file. The following entities submit institutional claims for example:

  • adult care homes
  • home health agencies
  • hospice services
  • intermediate care facilities for individuals with mental retardation
  • nursing facilities

Professional claims are filed by:

  • durable medical equipment suppliers
  • home infusion therapy services
  • private duty nursing services

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