Medicaid Administrative Claiming
Medicaid reimburses county public health departments, hospitals, and community-based organizations for a portion of costs incurred daily providing outreach and enrollment in Medicaid and gaining access to its covered health services. Reimbursements through Medicaid’s program can greatly benefit your agency’s budgets and ensure that individuals have access to low-cost/no-cost health care. Paradigm's extensive history with Medicaid Administrative Claiming (MAC) began in 1998 when Paradigm consulted with CBOs, hospitals, and local government agencies to support their outreach programs by implementing the MAC program.
MAC reimbursements start with documentation of time spent performing eligible activities. Claims are then calculated using this time data, cost data (such as salaries and benefits), and relative size of the Medicaid population served.
Paradigm secures more than $50 million in MAC reimbursements annually for clients. We support our clients in all aspects of program management, from start-up through audit preparation. Our services include
- consulting services geared to program initiation and optimization
- detailed program training and a library of training materials (including virtual training options) for coordinators and participants
- web-based technology for collecting time data and fiscal information
- fiscal reports to monitor program success
- extensive audit preparation and support for state and federal reviews
- proactive policy monitoring
- advocacy on the state and federal levels to promote an efficient and stable MAC program
We customize our services to save you time, make documentation easy, make your process transparent, and provide expertise when you need it. Paradigm assumes full responsibility for your program and provides customized technology solutions to enhance it.