Eligibility for Medicaid: How it Relates to Revenue Cycle Management

The application of Medicaid has greatly evolved throughout the years, and with it, the systems that govern it for efficacy. Despite it being in place for a good while now, there are still a lot of people who remain uncertain about their eligibility for Medicaid.

Medicaid Expansion by State

The first thing that patients should know is whether or not they are covered by the expansion of Medicaid. Not all states have adopted the expansion policy and so, there may be particular items that may not apply in case the state does not recognize it.

Specifically, this pertains to the coverage of all households that fail to meet a certain income bracket. It used to be that a person’s Medicaid eligibility depended on their household size vis-a-vis their income, family status and disability among others. These are well-established tenets of Medicaid across all states. Read more on this article.


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