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We are a Medical Facility and patient was seen twice in

Customer Question
08/2015. The patient's insurance changed...
We are a Medical Facility and patient was seen twice in 08/2015. The patient's insurance changed to a Medicaid insurance that we are not contracted with. The mother is wanting us to see the patient and is willing to pay cash.
I called State AHCCCS (AZ Medicaid) and they stated as we are a State AHCCCS and have only contracted with UHC Community Plan (AP/IPA) - we would need to have the patient sign a waiver stating she understands we will are not contracted with her AHCCCS plan and will be required to pay cash as a "Self Pay" patient at the time services are rendered. The State of Arizona AHCCCS does not have a waiver form, they state I will need to have one created. Is this legal and can I use the waivers that are on line as a "legal document"?
Submitted: 2 years ago.Category: Legal
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Answered in 3 minutes by:
1/26/2016
Lawyer: Asad Rahman, Lawyer replied 2 years ago
Asad Rahman
Asad Rahman, Lawyer
Category: Legal
Satisfied Customers: 2,556
Experience: Practicing Attorney with 10 years experience
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Yes, you can have them sign a waiver that is online and fully explains the situation. Not online templates are sufficient so if you find a good one, it may be smart to have a local attorney review it before having any patients or patient families sign it.

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