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Medicaid coverage may be assigned retroactively for a client. For claims for an individual who has been approved for Medicaid coverage but has not been assigned a Medicaid client number, the 95-day filing deadline does not begin until the date the notification of eligibility is received from HHSC. Between 1-5% of patients who didn't qualify for Medicaid on admission end up becoming eligible after leaving but despite providers best efforts patients often provide incorrect or incomplete personal data and Medicaid beneficiaries may chose to re-enroll to cover their previously uncovered stay. HPS provides an easy-to-use process with tailored results to meet your reporting needs including:
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