Medicaid Eligibility

Simplify Medicaid Eligibility for Long-Term Care Facilities

Medicaid is the primary source of coverage for most nursing home residents, and many assisted living residents rely on it to pay for critical services not covered by other insurance. The need for Medicaid will only continue to rise as the country’s aging population increases and more of the population becomes economically insecure.

With Medicaid financing such a significant portion of long-term care costs, it is in the provider’s best interest to help residents understand their eligibility requirements and take charge of the application process. Assisting residents with eligibility so they can access the care they need is not just the provider’s ethical responsibility—it is their opportunity to minimize uncompensated care and the bad debt that typically results.

But managing numerous Medicaid applications, renewals, denials and deadlines while staying attuned to evolving and complex state-specific regulations is an administrative burden that takes valuable time away from what matters most—your residents.

Whether your facility is already Medicaid certified or is looking to obtain certification, our experienced team of Medicaid eligibility specialists can help streamline your operations to ensure continuity of care for residents and financial stability for your facility.

Medicaid Eligibility Challenges We Solve

• Compliance with complex state-specific Medicaid rules & regulations
• Insufficient administrative resources to manage increasing caseloads
• Claims billing and coding errors that stall or prevent reimbursement
• Timely and successful resolution of denials and appeals
• Commitment to ongoing staff education and training

How We Do It

Richter partners with long-term post-acute care (LTPAC) providers of all sizes throughout the U.S. No matter where your facility operates, we know the Medicaid eligibility rules inside and out. Our seasoned team of Medicaid eligibility specialists have seen it all, from challenging cases to tricky renewals, and we will apply our unique expertise to deliver exceptional results for your facility and your residents.

Medicaid Eligibility & Compliance Solutions

• Eligibility screening: In this important first step, we will dive into all the details to determine whether a resident may qualify for Medicaid, saving you valuable time and resources.
• Application management: From start to finish, no detail will be spared as we gather information and prepare the necessary documentation to facilitate the entire application process.
• Renewal monitoring: Give your residents peace of mind in knowing their renewal deadlines are being tracked, so there are no surprises interrupting their coverage and care.
• State hearing assistance: Denials happen, but they are not the end of the road. When an appeal is warranted, our knowledgeable team will guide you through the process to help your resident receive the benefits they need.

Enhance Medicaid Eligibility Outcomes with Richter

At Richter, we pride ourselves on being more than just a service provider. As an extension of your team, you can trust us to look out for you and your resident’s best interests. Whatever your Medicaid eligibility challenges may be, we are confident that our team of specialists can help provide a swift resolution. To learn more about our customized consulting solutions, complete the form below or contact us here.