Inbound NCPDP Claim

70.1.3 - Inbound NCPDP Claim (Rev. 1, 10-01-03) The DME MAC needs to be able to determine whether a beneficiary has Medicaid coverage and in which state. In order to determine this, the provider must enter the two position state alpha code followed by the word “MEDICAID” in the Group ID field (Example, NYMEDICAID or FLMEDICAID). Therefore, “XXMEDICAID” must be accepted in the Group ID field (301-C1) in order to allow DME MAC’s to determine that a beneficiary has Medicaid coverage in that specific state.