Become Medicaid/Medicare provider - page 2

Hello, I am new here. I am in the process of planning my own business, either home care (private duty) or care manager (I just became aware of this title; is anyone familiar with it?). I read in... Read More

  1. by   Lacourty
    3M3RN, you don't have to be advanced practice. Minimum requirements for state of Wisconsin is an LPN or RN license. You may want to check out www.prefessionalhomecareproviders.com. They have info on getting certified for Medicaid/Medicare. I am not sure about how to get Medicare certified or if it is even possible from private duty nurses to get Medicare certified. All directions for how to get Wisconsin Medicaid certified were found on www.forwardhealth.gov.wi. I am still in the learning process as well. Sorry I couldn't be of more help.
  2. by   Nurse_Re
    Quote from Lisa1203
    http://www.emedny.org/

    This is the website for New York & is where you begin the process of obtaining your medicaid provider number so you can be reimbursed thru Medicaid. The pay is excellent - but you have to remember to take out quite a bit in taxes since it's your own business. I personally think this is one of nursings best kept secret.
    A quick question, after I submit my application to NY what's is my next step, and how to you stay on top of taxes and other contributions (SSI, Medicare ect.)
  3. by   Lisa1203
    a quick question, after i submit my application to ny what's is my next step, and how to you stay on top of taxes and other contributions (ssi, medicare ect.)

    you have to take out taxes on your own. it all depends on your financial circumstances - i take out 37% (yes - that high) & immediately transfer that into a savings account i opened up for that very purpose. & as far as your first question - the next step - well- there are many steps - you need to call the customer service number for emedny - they'll tell you. it's all a pain in the butt - but totally worth it.
  4. by   Nurse_Re
    thank you for the pointers!!!
  5. by   nickynoodles
    this sounds so interesting...Im anxious to hear more about it
  6. by   Nurse_Re
    Did you create your own progress notes, or does NY specify what they want? Did you ever have to mail them to NY state?
  7. by   calmcool1
    I'm a medicaid provider in Ohio, the website is www.ohiohcp.org. Also my friend is a provider in Texas and thier website is www.tmhp.com. I hope this is helpful!
  8. by   tleigh7097
    Anyone have pointers for Illinois?
  9. by   JM3RN
    Hi, I'm from Illinois. I just did a search, compliments of a previous post on "NPI." I found this site - National Plan and Provider Enumeration System (NPPES) nppes.cms.hhs.gov. I was able to apply for an NPI there, and it will be processed. I hope this helps. It wasn't as impossible as I thought.
    Joy
  10. by   JM3RN
    I just got my NPI! Check the time from my last post! Now what do I do, see what services Medicaid will cover and advertise those (of course within my training and scope of practice? Does anyone know how to get started? This seems like a big deal to me to get the NPI.
    Joy
  11. by   Lisa1203
    Quote from JM3RN
    I just got my NPI! Check the time from my last post! Now what do I do, see what services Medicaid will cover and advertise those (of course within my training and scope of practice? Does anyone know how to get started? This seems like a big deal to me to get the NPI.
    Joy
    Actually, now that you have your NPI # you can apply for your medicaid provider # & THEN you can look for work - isn't it complicated!
  12. by   tleigh7097
    I am very interested in how to get started as well. Your post was VERY helpful! I will continue to follow this thread in hopes that we can get more detailed information.
    thanks!!
  13. by   JM3RN
    OK...How do I find the info for a provider number? I thought the NPI was it. Oh well, onward with the search! Thanks for the support and feedback.
    Joy

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