Medicaid
The joint federal-state program covering many low-income individuals — rules vary by state.
Get a Free Billing AuditDefinition
Medicaid is a joint federal and state program that provides health coverage to many low-income individuals and families. Because states administer their own programs within federal rules, eligibility, covered services, and billing requirements vary from state to state.
A patient may also have both Medicaid and Medicare, which brings coordination-of-benefits rules into play.
Why it matters for billing
Medicaid’s state-by-state variation makes it easy to get billing rules wrong. Knowing the specific state program’s requirements — and handling dual-eligible patients correctly — keeps these claims payable and compliant.
Related terms
Terms that come up alongside Medicaid in the revenue cycle.
Billing that gets Medicaid right
EnVisionMD RCM handles eligibility, coding, documentation, denials and follow-up end to end — so the details behind terms like this one are managed for you, not left to chance.
Request a free billing reviewMedicaid — frequently asked questions
States administer their own Medicaid programs within federal rules, so eligibility, covered services, and billing requirements differ.
Someone covered by both Medicaid and Medicare, which triggers coordination-of-benefits rules for how claims are paid.