Are CARE Act grantees, their sub-grantees, or contractors required to bill third party sources such as Medicaid, Medicare, S-CHIP, and private insurance?
A1:Yes. As stated in the August 10, 2000 HAB policy letter, Grantees and their contractors are expected to vigorously pursue Medicaid enrollment for individuals who are likely eligible for Medicaid coverage seek payment from Medicaid when they provide a Medicaid covered service for Medicaid beneficiaries [and] also back bill Medicaid for Care Act-funded services provided for all Medicaid eligible clients upon determination. If a grantee, sub-grantee or contractor wishes to utilize CARE Act grant funds for client services that are both eligible for third party reimbursement and grant funding, the grantee, sub-grantee, or contractor must have a system in place to bill and collect from the appropriate third party payers. Furthermore, CARE Act grantees and their sub-grantees or contractors may and should identify potential sources of third party revenues for each client, refer clients to the appropriate agency for health insurance eligibility determination, set up billing systems, bill all
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