Fee-For-Service Medicaid

Some Medicaid members receive coverage through fee-for-service rather than managed care.

Who Receives Fee-For-Service?

• Members awaiting health plan enrollment
• Certain retroactive coverage periods
• Specific services not covered by health plans
• Emergency services for out-of-state visitors

How It Works

Under fee-for-service, providers bill Medicaid directly for covered services at established rates.