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Some Medicaid requirements are consistent through all states. These situations apply to state government Medicaid, and may not apply to private Medicaid style plans. This article addresses any potential issues with Medicaid Billing.

Subscriber/Patient Relationship

On eClaims, Medicaid requires that the patient and the subscriber be the same entity. In many cases a parent with one or more children receive Medicaid assistance. When this is the case, one parent or the other may be considered the person financially responsible, Medicaid does not want to see the parent on the eClaim as the subscriber.

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