Become Medicaid/Medicare provider - page 5

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. Visit  sunrock} profile page
    0
    Call the state office, "Medicaid Provider request", they will direct you to the correct office. hugs., things are slow on this end, the ........has now decided to give all cases to the agencies, UGH!!!!!!!!!!!!!1
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  3. Visit  sunrock} profile page
    0
    Quote from Lisa1203
    You don't find a supervisor - you find the case. In NY they may be advertised in the Pennysaver or Craigslist. For pediatrics it's the parents usually who most likely will be putting the ad in.
    hOW ARE your doing, having a hard time finding new cases myself, they are giving the new cases to the agencies.
  4. Visit  atpicord} profile page
    0
    Quote from 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.

    How has this been for you? any luck with finding information? I am in WI and just am kind of lost in the process
  5. Visit  loramlee} profile page
    0
    Hello all nurses.

    I got NPI number and I will send Medicaid Provider Enrollment Application form within one hour.

    Anyone has idea how long takes to get Identification Number?

    AND

    After I get Identification Number, I can get my case. Am I right?

    Thank you:heartbeat
  6. Visit  Lisa1203} profile page
    1
    Quote from loramlee
    Hello all nurses.

    I got NPI number and I will send Medicaid Provider Enrollment Application form within one hour.

    Anyone has idea how long takes to get Identification Number?

    AND

    After I get Identification Number, I can get my case. Am I right?

    Thank you:heartbeat
    It took me weeks - but I've been reading that someone received the provider number quickly. By the way - you can take a case now - just keep excellent records so you can process the claim correctly when you get your provider number.
    loramlee likes this.
  7. Visit  tralalaRN} profile page
    0
    Does anyone know if Minnesota does private duty nursing? I know that not all states offer PDN through Medicaid, but I think I had heard somewhere that MN is one of the states that does offer it. Any MN PDN's on here that could help? I have been doing PDN for about 18 months in WI, and have a good friend in MN who is interested. Thanks.
  8. Visit  loramlee} profile page
    0
    Quote from Lisa1203
    It took me weeks - but I've been reading that someone received the provider number quickly. By the way - you can take a case now - just keep excellent records so you can process the claim correctly when you get your provider number.
    Thanks Lisa. Received the number means.. they contact me, right? Since I get the case, 1. where can I get nursing note? 2. Where do I send it to? 3. How can I get my payment? 4. Is there minimum or maximum time limit per day?

    Thanks again
  9. Visit  Rose0823} profile page
    0
    Quote from sunrock
    Call up the Department of Social Services in your state, ask for the supervisor of the private duty nursing program. How this works is, after you have obtained your NPI # by goggling up emedny.com, fill out the application for private duty nurse. and NPI #(your id with the state), then call that supervisor for your county, and leave your name and availability with her. Give weekly calls. You will be taking care of pts. in THEIR HOMES, one pt, adults in ny = 36.05/hr, Peds. 43-4/hr. You are totally on your own, so experience helps, you work directly/report to MD, a visiting nurse checks the pt. out every 6 mos., GET MALPRACTICE INS., you bill directly to the state, pay your own SS/Taxes, no benefits, get your own health ins., call your own hrs., very flexible with the families UNLESS IT IS A 24HR. CASE THEN, IT WILL BE 12 hr. shifts, etc., 8 hr. if the nurses decide, work as many hrs. as you like, i have been doing it for years. any questions.
    Hi Sunrock, Thanks for the info. I am currently a medicaid provider in Ohio, but will be moving to New York city in September, and am in the process of getting my provider # now. Is the $43-44/hr reimbursement for peds cases before or after the 30% enhancement rate? Is it difficult to get reimbursed as an R.N. In the state of New York? I noticed on pg.5 of the N.Y. Private Duty Manual it stated that prior approval should be at the LPN level unless approved by the MD. Finally, have you ever heard of any private duty nurses taking intermittant cases (straight caths, med administration, chronic wound care,etc)? I know these cases must exist, but is the Medicaid reimbursement lucrative? On Ohio, nurses get paid $54.95, for the first hour of any case. So, if you spend 15 minutes straight cathing your patient, you still get the $54.95. I'm sure the reimbursement in Brooklyn (where I'll be moving) must be higher than it is in Cleveland. I can't seem to get a bottom line on this though. Thanks!
  10. Visit  sunrock} profile page
    0
    Quote from Rose0823
    Hi Sunrock, Thanks for the info. I am currently a medicaid provider in Ohio, but will be moving to New York city in September, and am in the process of getting my provider # now. Is the $43-44/hr reimbursement for peds cases before or after the 30% enhancement rate? Is it difficult to get reimbursed as an R.N. In the state of New York? I noticed on pg.5 of the N.Y. Private Duty Manual it stated that prior approval should be at the LPN level unless approved by the MD. Finally, have you ever heard of any private duty nurses taking intermittant cases (straight caths, med administration, chronic wound care,etc)? I know these cases must exist, but is the Medicaid reimbursement lucrative? On Ohio, nurses get paid $54.95, for the first hour of any case. So, if you spend 15 minutes straight cathing your patient, you still get the $54.95. I'm sure the reimbursement in Brooklyn (where I'll be moving) must be higher than it is in Cleveland. I can't seem to get a bottom line on this though. Thanks!
    ********currently it seems that the sup. retired and the current one is now giving all of the cases to the agencies, and that is how i am working presently, the rate is very low 28 for adults, and 4 for children, regarding the increase, i am not sure, just ran across your posting, have you moved to brooklyn yet, let me know.
  11. Visit  Rose0823} profile page
    0
    Sunrock, I am still in Cleveland. Will be moving to Brooklyn in September. I recieved my Medicaid provider # last week but have not started advertising yet. Still confused regarding the payrate. Is that $40 for kids working through an agency? Was the $43-44/hr as independant after the 30% incentive for medically fragile kids? What about the pay for intermittant visits as independant provider? What agency do you work for?
  12. Visit  sunrock} profile page
    0
    Quote from Rose0823
    Sunrock, I am still in Cleveland. Will be moving to Brooklyn in September. I recieved my Medicaid provider # last week but have not started advertising yet. Still confused regarding the payrate. Is that $40 for kids working through an agency? Was the $43-44/hr as independant after the 30% incentive for medically fragile kids? What about the pay for intermittant visits as independant provider? What agency do you work for?
    Visits are approx with an agency 39/hr for a total of 30 pts/week anything over 30 is 54/hr, someone just told me. i cannot give you the name of the agency due to this forum send me a private email.
  13. Visit  Rose0823} profile page
    0
    Sunrock, what us your email address?
  14. Visit  sunrock} profile page
    0
    Quote from Rose0823
    Sunrock, what us your email address?
    **I do not know if we are allowed to post email addresses, send me a private reply


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