Library: Policy

317:30-5-1013. Billing

Issued 5-11-98

Billing for case management services is on Form HCFA-1500.  Claims should not be submitted until Medicaid eligibility of the individual has been determined.  However, a claim must be received by OHCA within 12 months of the date of service.  If the eligibility of the individual has not been determined after ten months from the date of service, a claim must be submitted in order to assure that the claim is timely filed and reimbursement from Title XIX funds can be made should the individual be determined eligible at a later date.