Cash pay for medicaid patients who's injections are denied

Does anyone know if it is a breach of your medicaid contract to offer patients a cash pay option for an injection such as a LESI or TFESI if medicaid denies the prior-authorization?

For example, I just had Meridian deny a 2 level TFESI on a patient because he had a prior epidural done 8 months ago by a different doctor that didn't help. I offered the patient the option to pay cash for the injection ($300) and bypass insurance and they agreed.

Source: Student Doctor Network - February 19, 2023 Category: Universities & Medical Training Authors: AnesthesioPainologist Tags: Pain Medicine Source Type: forums