What is delayed/retroactive eligibility?
A client’s Colorado Medical Assistance Program eligibility may be made retroactive prior to the application date. Charges for services are the patient’s responsibility until eligibility is established. Claims are denied if the client’s eligibility status is not available through eligibility verification methods.
Related Questions
- If an individual is absent from work during their eligibility waiting period or at the end of the eligibility waiting period, can coverage be delayed under a carriers "active at work" provision?
- If a provider has performed a sterilization and the client gets retroactive eligibility, can the provider bill Medicaid without the sterilization form?
- If a beneficiary is late in submitting paperwork in the provisional timeframe, will the ECHO eligibility be retroactive?
