Medicaid
Medicaid Claims Management for Home Care Agencies
Medicaid can be one of the most reliable payers in home care, but only if your billing, authorizations, and eligibility checks are airtight. Paradigm manages the complexity so you can focus on delivering care and growing your business.
How it Works
We only charge for successful Medicaid claims, so our success depends on yours.
Expert Medicaid billers and AI-powered tools
We run your Medicaid claims like we’re your in-house billing department
.png)
Human touch without human error
Our AI-powered billing tools scrub shifts, check authorizations, and reconcile payments
We get you enrolled in Medicaid
We help you get enrolled with state Medicaid programs and MCOs, if you aren’t already
Solutions
We Take Care of it All
Partnering with us will feel like you’ve gained a team of coworkers who’ve spent their whole careers mastering Medicaid.
Support
Frequently Asked Questions
Can Paradigm help me enroll in Medicaid or with MCOs?
Yes. We manage the entire Medicaid enrollment process with state programs and contracted MCOs.
Can Paradigm bill directly in my EVV or agency management system?
Yes. We work with AMS platforms like HHAeXchange, Sandata, WellSky, AxisCare, and more.
What if I’m already doing Medicaid billing but it's a mess?
We can seamlessly take over your claims process, clean up your AR, and fix systemic issues moving forward.
Do you reconcile EVV with shifts?
Yes. We reconcile shifts, clock-ins, and visits across your EVV and AMS systems every week before claims are submitted.
How does Paradigm charge for Medicaid billing?
We operate on a performance-based model—only charging a small fee when claims get paid.
Can you help with both Medicaid and the VA billing?
Yes. Many of our agencies bill both, and we specialize in managing both third-party payer types side by side.
Do you handle Medicaid claim denials and appeals?
Yes. We review, correct, and resubmit denials for Medicaid billing claims—so your team doesn’t have to.
Do you help track Medicaid authorizations?
Yes. We flag missing or expiring Medicaid authorizations and prevent billing beyond approved limits.
Does Paradigm provide Medicaid-specific training?
Yes. We train your team on Medicaid payer rules, shift documentation, and billing compliance.
Your bank account deserves More Cashflow.
Got questions about Medicaid billing services? Let’s talk.
Copyright © Paradigm 2026
