I had a doctor charge my client $60 for an office visit for a dsnp client. According to the insurance company, this doctor is in network. I called the doctors office, and was told that they don't accept any dsnp plans. But then they asked me an interesting question. If they were to accept it, how do they get paid? My clients co-payment would be $0. Does the state (Medicaid) reimburse the doctor in full? The doctors office would have to bill Medicaid? Or does Medicaid and the insurance company share in the bill?