AimCare is introducing CareMatics, an advance platform built for healthcare providers and health plans to screen members or patients in real-time for Medicaid eligibility across all states and get them enrolled in affordable healthcare plans with higher success rate, helping to cover the costs of medical care and services.
CareMatics securely manages all the data and documents from one centralized location within the organization’s workspace. Our platform simplifies workflows, document management, e-signatures, and automatic form submissions, allowing staff to focus on a process and less on repetitive manual paper-work or labor intensive tasks.
Identifies uninsured patients, evaluates their Medicaid eligibility based on state-specific criteria, and initiates the enrollment process.
Effortlessly navigate Medicaid Enrollment with our automated solution designed to expedite patient access to essential healthcare services.
Effortlessly manage documents, fill applications forms and get e-signatures, significantly reducing manual paperwork.
Track and Monitors the coverage status of Medicaid population, providing alerts to providers and the patient when coverage is lost or approaching renewal due date. Initiate renewal process to keep the patient medicaid coverage active.
Secure Patient Portal provides accessibility for patients to update, sign applications, upload documents and track the progress for enrollment with real-time updates through our intuitive monitoring system.
Engages patients that are qualified and without coverage, enrolling them in Medicaid & allowing for reimbursement.
Securely exchange patient information through seamless EHR integrations in full compliance with HIPAA & FHIR guidelines.
Manage multiple locations and control access for staff to process patients data and execute workflows securely.
Unlock actionable data insights and reports to drive informed decision-making and optimize healthcare outcomes.
Keep patients and staff updated in real time with email and SMS notifications for all activities and tasks, ensuring prompt resolution of new requests and effective team collaboration.
Get startedPlatform support medicaid eligibility screening and enrollment process across all 50 states.
Scalable to screen unlimited amount of patients automatically with no extra cost reducing paper-work and manual labor.
Onboard multiple offices, hospitals and clinics to support operations across 50+ locations.
Streamline your healthcare administration and staff support with our actionable insights dashboard, efficient ticketing system and patient management portal.
Welcome to our FAQ section, where we address common questions about our healthcare solutions. If you have further questions, don't hesitate to reach out to our support team for personalized assistance.
Contact usMedicaid provides health coverage to eligible low-income adults, children, pregnant individuals, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.
Medicaid explained here.
Medicare is a federal health insurance program for people:
1. Age 65 or older
2. Under age 65 with certain disabilities, and/or
3. Any age with End-Stage Renal Disease/ESRD (permanent kidney failure requiring dialysis or a kidney transplant) or Amyotrophic Lateral Sclerosis/ALS.
Financial : The Affordable Care Act established a new methodology for determining income eligibility for Medicaid, which is based on Modified Adjusted Gross Income (MAGI). MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid.
Non-Financial : To be eligible for Medicaid, individuals must also meet certain non-financial eligibility criteria. Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.
In general, the medical services are paid for by Medicaid, but some may not be covered for you because of the age, financial circumstances, family situation, transfer of resource requirements, or living arrangements. Some services have small co-payments. These services may be provided using your Medicaid card or through the managed care plan if you are enrolled in managed care. You will not have a co-pay if you are in a managed care plan.
Medicaid benefits are listed here.
For most of the health care services, you won't pay anything, or you'll have just a small copayment at the time of your visit. Most often, you show your Medicaid coverage card, and the state pays the full cost of your care to your doctor directly.
Some states, under a federal waiver, charge a monthly premium for certain eligibility categories.
Yes, if your income is not too high. Medicaid and The Children's Health Insurance Program (CHIP) provide low-cost coverage to millions of families with children. Income requirements vary by state. In all but two states, children who live in four-person households with incomes up to $56,890 qualify for either Medicaid or CHIP. Eighteen states and DC will cover children in families of four who earn even up to $84,630, although sometimes families at the higher eligibility levels may need to pay more for the coverage.If you have a baby while you're on Medicaid, your baby will automatically be enrolled in Medicaid for their first year.
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