Is there any franchise company that takes payment directly from medicaid for elderly care?

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You'll have to check with each company in your area, I'm afraid.

If Medicaid pays, they may take it, but it could be that the payment is only partially what they charge, so there'd still be money owed. States have a big say in Medicaid payment, which is what makes it hard to give blanket answers.
If anyone on the forum knows of a franchaise company that accepts direct Medicaid payment, please chime in.

Best,
Carol

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