Glossary
Eligibility verification
Eligibility verification means checking that the client has active Medicaid coverage for the relevant date and payer path. It should happen outside public tools.
Quick path
Start with the step you need.
- 1Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose your state
- 2Check what is missingReview setup, visit notes, codes, and payer steps before billing.Use the checklist
- 3Save the checklistDownload the checklist, then keep client details in your own secure records.Open checklist
Why it matters
A claim can deny if coverage was inactive, belonged to a different plan, or required a different billing route.