How are lab services be covered while waiting for a client’s Medicaid Women’s Health Program certification?
Women can fill out Medicaid Women’s Health Program applications at providers’ offices and receive services the same day. However, an ID number that a lab can use to directly bill Medicaid will not be available until the client is certified in the Medicaid Women’s Health Program. Providers will have to make arrangements with their labs for this situation. DSHS family planning contractors have been provided information on how to address billing procedures for laboratory services provided at a DSHS Lab when a woman has been screened potentially eligible for the Medicaid Women’s Health Program, but final eligibility determination has not been completed. These instructions have also been posted to the DSHS family planning web site at www.dshs.state.tx.us/famplan/default.shtm.
Related Questions
- Can we charge Medicaid Women’s Health Program participants for services that are not covered benefits, like antibiotics?
- How are lab services be covered while waiting for a client’s Medicaid Women’s Health Program certification?
- How will I know if a client is covered by the Medicaid Women’s Health Program?
