Answer the following statements true (T) or false (F)

1. If a Medicaid patient is on restricted status, the patient is required to see a specific physician and/or to use a specific pharmacy.
2. To be considered for payment, a denied Medicaid claim must be appealed within 60 days of the date of denial notification.
3. Providers must resubmit a signed, completed/corrected claim with a copy of the R&S on which the denied claim appears within 180 days from the date of the R&S to be considered for payment.
4. Healthcare Common Procedure Coding System (HCPCS) codes are required on both Medicaid physician and hospital claim forms.
5. If a Medicaid claim was NOT filed within the required time limits because of an error or neglect on the part of the medical office staff, the physician can appeal the denial and seek payment.
6. People with Medicare and Medicaid automatically qualify (and do not need to apply) for Extra Help paying for Medicare prescription drug coverage.


1. TRUE
2. FALSE
3. TRUE
4. TRUE
5. FALSE
6. TRUE

Health Professions

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