Can I refer client to any specialist or another Primary Care Provider?
Yes, as the client’s PCP, you can refer the client to a specialist or other provider. Referral to a specialist or another Primary Care Provider requires the assigned PCP’s Medicaid provider billing number on the billing claim. What is involved in making a referral to another provider/specialists? Referrals to another provider or specialist can be in writing or over the phone. You should note any referrals in the client’s medical records. When you make a referral, give the provider your Medicaid billing number. Your provider number must be listed in the referring physician box on their billing claim form to ensure payment.
