How to Find Medicaid Physicians

Medicaid insurance programs collaborate with in-network physicians to provide participants with optimal health care. However, the team at recognizes how personal and overwhelming finding a physician through Medicaid can be. Using search engines for physicians based on the services they offer may yield results, but those physicians may not be in the Medicaid network. To ensure that beneficiaries find physicians through Medicaid who best suit their needs, they must consider physicians’ specialties, the conditions they treat and their office locations. In the following informative article, enrollees can learn the best method for searching and finding Medicaid physicians that meet their standards.

Tip 1: Utilize Online Guides

Comparison guides conveniently help Medicaid participants determine which physicians are accepting new patients and which conditions they treat. These guides, like Physician Compare presented by the Centers for Medicare and Medicaid Services (CMS), allows enrollees to sift easily through a list of in-network providers, but does not give comprehensive information on the physicians. Reviews, costs and scheduling availability of listed physicians are often missing in preliminary searches. It is important for patients to continue researching to decide which physician satisfies their health care needs.

The team at suggests that individuals also utilize organizations such as Accountable Care Organizations (ACOs) comprised of physicians and hospitals that coordinate health care within the network of Medicaid insurers. ACOs guarantee high-quality care, operate as a single provider, have a group of specialists facilitate potential referrals and assure patients that Medicaid will cover all health care providers listed. However, the team at reminds enrollees that ACOs participate in the program voluntarily and finding consistent care may be challenging.

Tip 2: Change Search Parameters

Beneficiaries should search by location or specialty in comparison guides rather than by condition or symptom to increase the number of providers that appear on search results. Originally, citizens should try to enter queries that yield the most results and consider narrowing prospects later. Increasing the number of search results raises the probability of finding a viable health care match that meets their financial and medical needs. Unless participants have a provider they would like to verify through Medicaid, they should avoid limiting searches. Once enrollees begin eliminating potential providers, the team at recommends restricting the search with more specific queries.

Tip 3: Ask Medical Professionals

Other medical professionals are excellent resources for patients seeking new or additional Medicaid physicians. The team at urges those with medical connections to ask other providers about in-network Medicaid physicians. If online resources do not offer the assistance needed, then beneficiaries are encouraged to discuss medical coverage with other health care professionals who may or may not be covered by Medicaid. While other physicians may not direct patients to the exact physician they require, offices often carry insurance information for surrounding medical facilities.