Medicaid redetermination, otherwise known as Medicaid renewal, is a process in which the eligibility of Americans for Medicaid benefits is reviewed periodically to ensure that they still meet the requirements.
In the Covid-19 pandemic, due to Public Health Emergency (PHE), Medicaid recipients could avail of the benefits of Medicaid coverage regardless of their eligibility. However, the policy of continuous coverage has ended. This means that you need to apply again for Medicaid benefits so that the State of Florida can reassess your eligibility to keep Medicaid benefits.
The good news is that you are not alone in your process of Medicaid redetermination. Your Medicaid doctor (your healthcare provider who participates in the Medicaid program and provides services to eligible Medicaid beneficiaries) can help you prepare for Medicaid redetermination.
Let’s talk about how a Medicaid doctor can help you with your Medicaid redetermination and where you can find the best Medicaid doctor in Orlando.
They Can Help You with Medical Documentation
You might need all necessary medical documentation supporting your eligibility for Medicaid benefits. Your primary care physician in the Medicaid program can help you with this.
They can gather and organize all the necessary documentation, such as your test results, medical history, treatment plans, and other relevant information that shows that you need continued medical care and Medicaid Coverage.
They Provide Up To Date Information About Your Health Condition
Medicaid doctors can do health assessments to evaluate your current medical condition and document any changes in your health status that may have occurred since your initial eligibility determination.
This provides the insurance agency with your UpToDate information about your health, including updates on your diagnosis, medication changes, modifications to your treatment regimen, and any new healthcare needs since your last eligibility determination. All this UpToDate health information shows you need ongoing medical care and Medicaid coverage.
They Develop a Long-term Treatment Plan for Your Chronic Medical Condition
Individuals with chronic health conditions require long-term care. A Medicaid doctor can develop a long-term treatment and care plan for these individuals, including medical supplies like medications, rehab therapies, and other ongoing care requirements.
At the time of your Medicaid redetermination, you can provide this comprehensive and well-documented treatment plan to demonstrate you need Medicaid benefits to manage your ongoing health condition.
They Can Advocate for You
Your Medicaid doctor can also advocate for you if necessary. They may help strengthen your case for continued eligibility by providing a letter of medical necessity outlining the reasons why your ongoing Medicaid coverage is crucial for your health condition.
As a liaison, they may also communicate with the Medicaid agency during the renewal process to address any concerns, clarify medical information and provide additional documentation if the agency requests.
Medicaid Doctors in Orlando
If you are in search of a highly experienced and talented doctor who participates in the Medicaid program and can help you with your Medicaid redetermination process, look no further than Premier Medical Group.
Our physicians are proud to offer comprehensive services to people of all ages, including children, men, and women in the greater areas of Central and South Florida. We not only provide our patients with top-notch pediatric services, geriatric services, women’s health services, chronic disease management, and weight management but also help them with their Medicaid redetermination process. We offer same-day appointments and same-day referrals as well.
If you would like to know more about our Medicaid doctor or want to schedule a consultation for healthcare services, call us today at (305) 273-9100 or fill out our online appointment request form.