What must happen if a physician accepts Medicaid?

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When a physician accepts Medicaid, they agree to the stipulations set forth by the Medicaid program, which typically includes accepting the reimbursement rates established by Medicaid as payment in full for services rendered. This means that the physician cannot seek additional payment from the patient beyond what Medicaid pays for covered services. This arrangement is designed to ensure that patients have access to necessary medical care without facing excessive out-of-pocket costs.

By engaging in the Medicaid program, physicians are participating in a system that seeks to provide healthcare services to low-income individuals, and as such, they must adhere to specific regulations that prioritize patient access and affordability. This commitment helps maintain the integrity of the Medicaid program and ensures that those who rely on it can receive the care they need without being burdened by additional charges.

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