Out-of-State Medicaid Claims:
From Afterthought to Revenue Opportunity

State Medicaid programs are required by Federal law to provide coverage under certain circumstances when their enrollees are traveling out-of-state. Medicaid plans have wide latitude to implement enrollment processes, authorization guidelines and payment rates for the related claims. Many providers are tempted to write off these claims due to the inherent complexity. This is a mistake.

Out-of-state claims represent a real revenue opportunity for hospitals and health systems. There are a number of resources available to providers with limited capacity to address these claims internally.

Download the whitepaper to learn:

  • Why hospitals and health systems should not neglect out-of-state Medicaid claims
  • Challenges in obtaining proper payment
  • Potential approaches to effectively managing out-of-state Medicaid revenue recovery when few resources are available


Fill out the form to download the whitepaper.