04/09/2025
I am a sole provider, with up to 50% of my clients on Medicaid. I am in a solo practice. I handle everything related to the practice. That includes all admin responsibilities as well as seeing clients with severe mental health issues. I pay TherapyNotes to handle all of my claims submissions because they have been fast, efficient, and seamless. Therapy Notes is the EHR that I use, and have been very happy with to date.
TherapyNotes automatically sends claims to Claim.MD, who then submitted claims to Maryland Medicaid. This was working well, until March 1st. Then everything ground to a halt. Nothing was being processed, nothing was showing up in Carelon, Payspan or Availity to say that the claims had been recieved — yet the reports I get from TherapyNotes showed that they had been successfully submitted and were being processed.
Right now, in order to submit claims and get paid, it appears I have to have a Carelon account, a payspan account, an account with Availity, and now an LTSS account. And I am expected to manually submit claims through Availity as the preferred claims submission route. THIS IS RIDICULOUS!
I want to retire in the next 5 years. As I wind down my practice I do NOT want to add extra expenses such as a billing service in order to get paid in a timely manner. The vast majority of mental health providers in the State of Maryland refuse to accept Medicaid because of things like this. The majority of us want to help our low income clients, but when the State continues to put barriers in the way, it is no wonder that the majority of my colleagues and friends have opted out.
