If Brice’s visits have been covered by Medicaid for the past 2 years, what possible reason might there be for Medicaid to discontinue benefits?

Possible problems that could arise from Gina’s failure to follow proper procedures include reimbursement issues for the visit and potential fraud charges. If Brice is not currently eligible for Medicaid, then any money received from Medicaid would be fraudulent and subject to investigation.

Possible reasons for Medicaid to discontinue benefits are changes in household income or family size, lack of documentation of current eligibility status such as age or disability, reaching upper limit of coverage period (usually 3-5 years), or moving out of state/jurisdiction if they are on a different program than the one they were previously enrolled in.