If a patient has Medicare Primary and Medicaid Select secondary does the billing provider need a two-digit cert code for authorization?
No, there is no cert code requirement for Medicare crossover claims in Medicaid Select. However, for services that Medicare does not cover but Medicaid does, a cert code is required. Unless you are confident that Medicare will cover every service rendered and none will have Medicaid primary, contacting the PMP for a cert code will provide you with protection against a cert code denial.
