Billing for Medicaid Enrolled

Purpose: This applies only to EI: Speech Language Pathology, EI: Occupational Therapy and EI: Physical Therapy services for children indicated as Medicaid Enrolled.

1. If a child is Medicaid Enrolled (indicated on the Client Case under Insurance Information section of the Details tab) and a Medicaid Denial is on file, check the checkbox and enter the Date of Denial by using the pop-up calendar  

2. Enter all fields as indicated in the above steps for CREATING AN ACTIVITY FOR DIRECT SERVICES  

3. Click Save

4. If the child is Medicaid enrolled and a Medicaid denial is NOT on file and the denial box is not checked, users will not be able to bill to Direct Services

5. If units >0 are entered for a client who is Medicaid Enrolled with Medicaid Denial = False, one of the following error messages will display:

   1. Required Date of Denial

   2. Please fill the required fields