Medicaid and Private Payor Issues

The resources on this page are designed to assist chapters in advocating for adequate and fair reimbursement policies at the state level. Case studies offer models of effective strategies and tactics employed by other chapters in addressing critical reimbursement issues. Additionally, sample legislation, talking points and other resources are provided to equip chapters with helpful tools in ensuring that managed care companies provide equitable treatment to emergency physicians that do not participate in their networks.

Private Payor Resources 

Fair Payment/Balance Billing:

  • New Toolkit for Chapters Dealing with Out-of-Network Payment and Balance Billing Legislation

Assignment of Benefits:

Medicaid Resources


CMS/HHS Support of Prudent Layperson Requirement for Medicaid:


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