If a Medicaid hold is on your account, you can't book until the hold is removed. To start the review, send a letter showing that your Medicaid coverage has ended, or that you were never eligible.

If you are not sure your insurance is Medicaid, see Medicaid policies.

When you add insurance, Circle Medical checks it with your insurance. Sometimes the reply says your coverage is a Medicaid plan. A hold can also be placed when other records related to your care, like prescription drug monitoring databases, show Medicaid coverage.

This can happen even if your insurance card shows another name, like Aetna, Blue Cross Blue Shield, or UnitedHealthcare. It can also happen if you didn't know you were enrolled. You can have a commercial plan and Medicaid at the same time. You can also have Medicare and Medicaid at the same time. If Medicaid is one of your plans, the hold still applies.

Circle Medical can't confirm your Medicaid status directly. Medicaid status can change often, even within the same month. Coverage can also apply to earlier months. Medicaid can sometimes pay for care from 1 to 3 months before the month you applied, if you met the eligibility rules during those months. That is why a card, or being told that coverage has ended, is not enough to remove the hold.

For why we're unable to see patients who are eligible for Medicaid, see our Medicaid policies.

Send one of these:

The letter needs to show your full name and either a termination date or a printed notice of ineligibility.

To get the letter, contact the office that decided your Medicaid case. That office is named on your eligibility notice. In some states it is a local Department of Social Services. In others it is a county human services office, a state Medicaid agency, or a program call center. If you cannot find the notice, call the member services number on your card and ask who to contact.

If you do not have a card, contact the Medicaid office in your state and ask whether you have coverage. Ask for a letter that shows your full name and either a termination date or that you are not eligible. Phone numbers and websites by state are on Medicaid.gov.

The support team reviews the letter and tells you the next step.

Sending the letter does not remove the hold that day. If the letter has a coverage end date, the hold is removed after that date has passed.

A future end date is common. If coverage is canceled late in the month, it may stay active through the end of the next month. Some states let you waive a 10-day notice, which can make that end date sooner. The date on your letter is the date that matters.

If the letter says you were never eligible, the support team removes the hold after they review it. You can book again after the hold is removed.

Removing the insurance on your account does not remove the hold.

No. We're not contracted with any state Medicaid program, so we can't see patients who have Medicaid coverage, even if they'd prefer to self-pay or have other insurance.

See our Medicaid policies.

Your provider decides whether to send any prescriptions before care ends. Circle Medical can't promise a refill, and the pharmacy may not be able to fill the a prescription if it comes from a non-contracted provider.