Become Medicaid/Medicare provider

Specialties Private Duty

Published

You are reading page 2 of Become Medicaid/Medicare provider

JM3RN

23 Posts

Lacourty, what state are you in, and what is the health department you are referring to - the Department of Public Health? Are you an advance practice nurse? I searched Illinois sites and I'm pretty sure I would only qualify for M/M reimbursement if I were a Master's level nurse practitioner or clinical nurse specialist, which I'm not. I have an ADN. Thanks

Lacourty

18 Posts

Specializes in Home Health, Outpatient Med, Radiology.

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.

Nurse_Re

10 Posts

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.)

Lisa1203

76 Posts

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.

Nurse_Re

10 Posts

thank you for the pointers!!!

nickynoodles

89 Posts

this sounds so interesting...Im anxious to hear more about it

Nurse_Re

10 Posts

Did you create your own progress notes, or does NY specify what they want? Did you ever have to mail them to NY state?

calmcool1

22 Posts

Specializes in Vascular Interventional Radiology & PACU.

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!

tleigh7097

30 Posts

Anyone have pointers for Illinois?

JM3RN

23 Posts

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. :yeah:

Joy

JM3RN

23 Posts

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

Lisa1203

76 Posts

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!

+ Add a Comment