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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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WHEN A PT IS ON STRICTLY MEDICAIDE IS A REFERRAL OR PRIOR

Customer Question

WHEN A PT IS ON STRICTLY MEDICAIDE IS A REFERRAL OR PRIOR AUTH REQUIRED TO SEE ANOTHER DR FOR SPECIAL TREATMENT OR OFFICE VISITS?
? WHEN A PT HAS BOTH MEDICAIDE AND MEDICARE ARE REFERRALS AND PRIOR AUTH REQUIRED FOR TREATMENTS, PROCEDURES, AND OR CONSULTS?
Submitted: 11 months ago.
Category: Medical
Expert:  Dr. David replied 11 months ago.

This is Dr. David

every state has a different medicaid product for patients who are now income.

most state's medicaid plans require referrals from your primary care doctor to see other doctors or specialists.

Medcare is a federal insurance plan and you don't need referral if you have medicare as the primary insurance plan.

let me know if you have questions.