Managed Care Nursing

Answer: B - Submit a claim to Medicaid is the correct process the provider should use to ensure payment for a dual covered patient requesting a (LARC) device.

A patient with dual coverage of Medicaid and Medicare is eligible for coverage of a LARC under the Medicaid benefit. Medicare does not cover contraceptive devices so there is no need to submit a claim to obtain a denial or obtain prior authorization. The patient does not have a cost share.