- Consider using non-financial techniques to maximize fee collection and minimize barriers to patients.
- Examples include focusing staff efforts on properly assigning patients for a sliding fee and other reimbursement programs, designing procedures to collect at the time of the service, and forgoing use of mailed statements and collection agencies for sliding fee patients
- Contract with local Coordinated Care Organizations (CCOs) to maximize Medicaid billing and reimbursement capabilities.
- Request that uninsured patients make some payment on day of visit, but do not deny access to care.
- If located along state borders, consider enrolling in the other state’s Medicaid program.1
- For Medicaid beneficiaries in underserved areas of the state, this increases patient access to providers.1
- Develop a policy and system to identify and enroll patients who are eligible for a sliding fee scale discount.
- To appropriately apply the discount, perform a cost analysis/assessment to determine the cost of providing services.
- Hire dedicated outreach and enrollment assistance staff to seek out and engage uninsured individuals and assist them with enrolling in health care coverage.2
- Consider finding outside grants and resources or internal mechanisms to ensure all women get the contraceptives they need at each visit.3
- Families USA Policy Brief: Interstate Medicaid Billing Problems: Helping Medicaid Beneficiaries Who Get Care Out of State: http://familiesusa.org/product/interstate-medicaid-billing-problems-helping-medicaid-beneficiaries-who-get-care-out-state
- Enroll America, Best Practices in Outreach and Enrollment for Health Centers: https://www.enrollamerica.org/research-maps/ publications/best-practices-in-outreach-and-enrollment-forhealth-centers
- Patient-assistance program for purchasing Skyla and Mirena IUDs, ARCH Foundation: http://www.archpatientassistance.com