Medicaid Consulting & Case Assistance Services
At Priority Care, we specialize in helping individuals and providers navigate the complex Medicaid system in New York. Whether you're applying for Medicaid for the first time, facing eligibility barriers, or managing ongoing coverage issues, our experts offer step-by-step guidance to ensure successful outcomes.
We serve clients across the spectrum — from individuals and families in need of personal support to healthcare agencies requiring credentialing, compliance, and billing solutions.
Our Medicaid Services
- New Medicaid Applications
- Code 54 & Code 48 Case Assistance
- Excess Income & No Coverage Solutions
- Home Health Restrictions – Code Removal (H78, 95, EP & more)
- Medicaid Provider Enrollment & Credentialing for Agencies
- EVV, HHA Exchange & Billing System Integration
- Back-Office Support: HR, Payroll, and Claims Submission
We simplify Medicaid for individuals and providers, delivering clear, compliant, and culturally aware support at every step.
Need help with excess income or denied Medicaid coverage? Our experts can resolve even the most complex eligibility issues quickly and compassionately.
We assist with restriction codes and provider applications, giving your agency a solid foundation for Medicaid participation and billing success.
Frequently Asked Questions
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Can you help with new Medicaid applications?
Yes, we walk clients through eligibility, paperwork, and submission for Medicaid coverage including Managed Long-Term Care (MLTC) and Community Medicaid programs.
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What if I’ve been denied Medicaid due to excess income?
We provide pooled income trust setup and spend-down planning to help clients qualify for Medicaid even with higher income levels.
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Do you remove restriction codes like Code 54 or H78?
Yes, we work with the appropriate offices to correct or remove home health restriction codes that prevent access to covered services.
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Can you help my agency become a Medicaid provider?
Absolutely. We handle enrollment, documentation, EVV, billing system setup, and credentialing to get your agency approved and running smoothly.
