How to Pick a Primary Care Provider for Medicaid

Medicaid provides medical coverage to low-income people. The program is funded by the federal government, but each state sets its own rules for eligibility. Like participants in private health insurance plans, Medicaid participants must choose a primary care provider (PCP) that will coordinate care and refer the patient to specialists when necessary. Choosing a Medicaid PCP involves balancing the traits you desire in a physician with the availability of doctors in your area.

Instructions

    • 1

      List your desired attributes in a doctor or medical practice. Include requirements for multi-lingual staff, location and sex of the doctor.

    • 2

      Request a listing of Medicare doctors in your state by calling your state health department or the insurance provider number located on the back of your Medicaid card.

    • 3

      Call doctor's offices in your desired location to inquire about the items on your list and to confirm participation in Medicaid. Pick the doctor that can best meet your needs.

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