Why Being Statewise Matters

Navigating Medicaid Rules in Every State

Medicaid can be a maze — and it’s a different maze in every state. One-way signs in Texas are U-turns in Michigan. What flies in California might get flagged in Louisiana.

For providers serving individuals through Medicaid-funded programs — whether IDD, pediatric, or personal care services — the difference between getting paid and getting penalized often comes down to one thing: understanding the fine print at the state level.

That’s where we come in. At Statewise, we’ve made it our mission to simplify the complexity of Medicaid — one state at a time.

One Medicaid Program, 50+ Interpretations

Every provider knows Medicaid is a federal-state partnership. But if you’re delivering care across state lines — or even trying to make sense of shifting guidance in your own state — you’ve seen how different things can be.

• EVV requirements look different in Ohio than they do in Arizona

• Billing codes can shift without notice in states like New York

• Prior authorizations, provider enrollment, and audit timelines — all controlled by the state Medicaid agency

Even if you’re doing everything “right” at the federal level, you can still end up facing:

• Claim denials

• Payment recoupments

• Compliance penalties

That’s what makes being Statewise not just helpful — but essential.

What Does It Mean to Be “Statewise”?

Being Statewise isn’t just our name — it’s a mindset.

It means:

• You’re not guessing what the rules are in your state — you’ve got the right info, at the right time, in your workflow

• You’re not chasing paperwork after a denial — you’ve built Medicaid compliance into every step of your process

• You’re not using generic tools — you’re using purpose-built software that actually speaks your state’s language

At Statewise, we work directly with state Medicaid policies to help you stay ahead. Whether you’re:

• Billing for ISS services in Texas

• Tracking PCA authorizations in Minnesota

• Or adapting to EVV updates in Georgia

We make sure you’re not playing catch-up — you’re leading the way.