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What is Medicaid Eligibility Verification System?

The Medicaid Eligibility Verification System is a service provided by on-line vendors to verify that a patient is eligible for Medicaid.

Medicaid is a government program for people that are unable to afford health care by themselves. How do the hospitals and health care providers that accept Medicaid determine whether or not the patients they treat qualify? There are many factors that determine if a patient can receive Medicaid. In order for a healthcare provider to accurately determine if the patient qualifies, they need to be able to retrieve accurate information about the patient in a timely manner.

What is Medicaid?

Medicaid is a state run and federally funded health program for people that qualify. Every state has a Medicaid program, but qualifications vary from state to state. If a person meets all requirements for Medicaid, their health care is either free or very inexpensive. People with low income can qualify. If someone is pregnant, blind, over 65 or with dependents they can also qualify. However, any of these conditions is not a guarantee that they are eligible for Medicaid.

Qualifying for Medicaid

To qualify for Medicaid certain criteria must be met. In general, income level must be very low. If pregnant or disabled or blind, candidates can sometimes qualify. There is particular criteria for each category. The Medicaid Eligibility Verification System allows Health Care providers a way to check on a patient’s eligibility, usually in real-time.

The Medicaid Eligibility Verification System

There are several on-line services that allow health care providers to determine whether or not the patients that they treat qualify for Medicaid. In order to get paid for services rendered, it is necessary to be able to verify that the patient qualifies for Medicaid immediately. Several providers advertise that they check verification for a monthly fee.



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