• Monday to Friday 9:00AM - 5:30PM
Free Consultation

Will Medicaid Pay For Outstanding Medical Bills From Before I Was Approved For Medicaid?

If the services were provided prior to the month that Medicaid benefits begin

A copy of the itemized bill will need to be submitted to DWS. If the bills is approved, it will be applied toward the Share of Cost until the bill is fully paid. During this time, the Share of Cost will be paid to the provider of the services instead of the facility.

If the services were provided after or during the month that Medicaid benefits begin

The PID (also known as the Medicaid Number or Member ID) will need to be given to the provider so that they can bill Medicaid directly.

HOW DO I SUBMIT OUTSTANDING BILLS TO MEDICAID?

To submit outstanding bills to Medicaid in Utah, follow these steps: 

  • Gather Required Information: Collect all the necessary information related to the outstanding bill, including the bill itself, any supporting documentation, and your Medicaid identification information. Make copies of the bill and any supporting documents, you can provide these copies to Utah Senior Planning for review and application purposes. It’s essential to keep the original bill for your records. 
 
  • Contact a Medicaid Specialist: By contacting a qualified Medicaid planner professional such as those found at Utah Senior Planning, you can avoid any complications to your application such as unwanted penalties or not qualifying entirely. We will provide consultation and guidance to direct you. 
 
  • Share of Cost Application: If the outstanding bill is approved for reimbursement, the Medicaid office will apply the “new share of cost” to your nursing facility stay. The share of cost refers to the amount you are responsible for paying towards your stay at the nursing facility, based on what you owe and your previous share of cost, Medicaid will adjust the share of cost to pay the remaining portion of the bill. 

Navigating the submission and management of outstanding Medicaid bills can be complex, but with the right guidance, you can ensure your costs are appropriately managed and applied. If you’re unsure how to proceed or want to avoid potential pitfalls, consulting with experts like those at Utah Senior Planning can be invaluable. They can help streamline the process, ensuring that your bills are handled correctly and your share of costs is adjusted accurately, ultimately securing the care and coverage you need.