Does any of this constitute legal advice?

No. This guide is for general information, not legal advice, and not a guarantee of any outcome. Policies and processes change often, differ by state and payer, and may not match your situation.

Use this to get oriented and avoid common mistakes, then confirm details directly with the right sources, such as your state Medicaid agency, CMS, the VA, Optum, or TriWest. When in doubt, talk to your legal counsel or compliance team before making decisions.

Paradigm is not affiliated with or endorsed by the VA, CMS, Optum, or TriWest. Any examples are illustrative and do not promise a specific result.

You are responsible for how you use this information. Paradigm is not liable for actions taken based on this guide.