Medicaid Eligibility & Enrollment
Revecore delivers personalized, end-to-end Medicaid Eligibility and Enrollment services — connecting patients with the coverage they need while helping hospitals capture appropriate reimbursement for the care they deliver.
Every Coverage Opportunity Starts at the Bedside
Revecore Advocates go directly to patients — bedside, in the ED, before discharge — because that's when contact rates are highest and conversions are most achievable. While competitors increasingly automate early-stage outreach, Revecore leads with people, ensuring no patient is missed and no coverage opportunity is left unexplored.
Screened Thoroughly. Enrolled Completely. Nothing Handed Off.
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Identification & Screening
Advocates screen every patient for Medicaid eligibility and a comprehensive range of additional programs — Medicare Savings Programs, SSI/SSDI, ACA Marketplace plans, VA benefits, workers' comp, and more — before discharge, when contact is most reliable.
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Application & Enrollment
Advocates complete and submit applications, track status with county DSS offices, manage follow-up, and file no-decision appeals when applications aren't processed within state-required timeframes — all under one team, with no handoffs.
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Case Resolution & Compliance
From disability representation through all levels of SSA appeal to SNF/LTC Medicaid coordination, every case is owned through final determination — with structured QA reviews embedded into daily operations.
What Sets Revecore Apart
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Bedside-first approach — on-site Advocates screen inpatients before discharge.
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True end-to-end case ownership from screening through final approval, no handoffs and no gaps.
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In-house disability team: specialists, attorneys, paralegals, and clinical professionals.
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Broadest program screening, including Medicaid, Medicare Savings Programs, ACA Marketplace, VA benefits, workers' comp, COBRA, SNF/LTC, and more.
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Embedded care team integration — on-site staff attend daily multi-disciplinary huddles and coordinate directly with DSS and SSA.
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Proactive regulatory expertise — Revecore tracks Medicaid policy changes at the state and federal level and helps clients prepare before changes take effect
Frequently Asked Questions
What is Medicaid Eligibility and Enrollment?
Medicaid Eligibility and Enrollment is the process of screening uninsured and underinsured patients for Medicaid and other government program coverage, then managing the application and approval process. For hospitals, successful enrollment converts self-pay accounts into reimbursable claims — reducing write-offs and ensuring patients receive the coverage they're entitled to.
What makes Revecore different from other enrollment vendors?
Most vendors screen and hand off. Revecore owns the entire case — bedside through final approval - with no handoffs. On-site Advocates work directly with patients before discharge, coordinate with county DSS offices, and follow cases through to a final determination. For complex cases including disability, SNF/LTC Medicaid, and post-death coverage, Revecore has dedicated specialists in-house.
Does Revecore only screen for Medicaid?
No. Revecore screens for a comprehensive range of programs beyond Medicaid - including Medicare Savings Programs (QMB, SLMB, QI), SSI/SSDI disability benefits, ACA Marketplace plans, VA benefits, workers' comp, motor vehicle accident insurance, COBRA, behavioral health programs, NICU-related coverage, and more. The goal is to identify every available payer source for every patient.
What is Revecore's in-house disability team?
Revecore maintains a dedicated in-house team of disability specialists, attorneys, paralegals, and clinical professionals who manage SS/SSDI cases from initial evaluation through every level of appeal. This matters because disability approval creates a pathway to Medicaid eligibility for patients who don't initially qualify — a coverage pathway most competitors can't pursue because they lack an in-house disability capability. Revecore's average disability approval time is under 135 days, below the SSA national average.
How does Revecore integrate with hospital care teams?
Revecore's on-site Advocates are embedded in daily hospital workflows - attending multi-disciplinary huddles alongside care managers, physicians, and clinical staff to identify and access patients in real time. This integration supports faster screening, better coordination with case management and utilization review, and a smoother experience for patients and families.
How does Revecore handle SNF and long-term care Medicaid?
SNF/LTC Medicaid applications involve additional complexity — medical evaluations, income and asset documentation, and coordination across care teams, families, and post-acute facilities. Revecore Advocates manage this process in full, including addressing asset-related eligibility issues and working directly with DSS and post-acute facilities to support timely approvals and reduce discharge delays.
How does Revecore stay current on Medicaid policy changes?
Medicaid rules, funding levels, and eligibility criteria are shifting rapidly at both the state and federal level. Revecore tracks these changes proactively and communicates implications to clients before they take effect — so hospitals have time to prepare, not just react.
How does Revecore ensure quality and compliance?
Revecore's Quality Assurance team conducts structured Quality Account Reviews beginning in an Advocate's second month and continuing bi-monthly. Reviews assess patient contact, screening accuracy, application submission, pending case management, and closed case accuracy — with Advocates expected to maintain a minimum 90% score.
Is Your Eligibility Program Capturing Every Opportunity?
Connect with Revecore to see what end-to-end eligibility and enrollment looks like — for your patients and your revenue.