Top 10 Best Medicaid Billing Software of 2026

Kareo is a cloud-based revenue cycle management platform renowned for its robust Medicaid billing capabilities, enabling practices to handle claims submission, eligibility verification, and payment reconciliation efficiently. It automates workflows for Medicaid-specific requirements, including prior authorizations and denial appeals, while integrating seamlessly with EHR systems. Designed for independent providers, Kareo maximizes reimbursements through analytics and real-time tracking, reducing administrative overhead significantly.

AdvancedMD is a comprehensive cloud-based EHR and practice management platform with robust Medicaid billing capabilities, handling everything from patient eligibility verification to claims submission and revenue cycle management. It supports Medicaid-specific rules, automated scrubbing, electronic remittance processing, and denial management to streamline reimbursements and ensure compliance. Ideal for practices needing integrated billing within a full-suite solution, it scales from small offices to large enterprises.

Athenahealth is a cloud-based electronic health records (EHR) and practice management platform with robust revenue cycle management (RCM) capabilities, specializing in Medicaid billing through automated claims submission, eligibility verification, and denial management. It supports electronic remittance advice (ERA) processing and integrates with state-specific Medicaid systems for compliant billing. The software provides analytics to optimize reimbursements and reduce administrative burdens for healthcare providers handling Medicaid patients.

NextGen Healthcare offers a comprehensive EHR and revenue cycle management (RCM) platform designed for ambulatory practices, with specialized tools for Medicaid billing including automated claims submission, eligibility verification, and denial management. It supports accurate HCPCS and CPT coding compliant with Medicaid requirements, integrates with clearinghouses for electronic remittances, and provides robust scrubbing to minimize rejections. The solution scales well for multi-provider environments while ensuring HIPAA compliance and interoperability via FHIR standards.

eClinicalWorks is a comprehensive EHR and practice management platform with robust revenue cycle management (RCM) tools designed for Medicaid billing. It automates claims submission, eligibility verification, scrubbing, and denial management while ensuring compliance with state-specific Medicaid requirements. The software integrates seamlessly with electronic health records for accurate coding and supports high-volume practices with analytics for revenue optimization.

PracticeSuite is an all-in-one revenue cycle management (RCM) platform designed for medical practices, with strong capabilities in Medicaid billing including claims submission, scrubbing, and denial management. It supports EDI transactions like 837P for professional claims and 835 ERA for remittances, along with real-time eligibility checks for Medicaid payers. The software integrates practice management, EHR, and patient engagement tools to streamline workflows for government insurance billing.

CureMD is a cloud-based EHR and practice management platform with a robust integrated billing module designed for healthcare providers, including support for Medicaid claims processing. It offers features like electronic eligibility verification, claims scrubbing, automated posting of remittances, and denial management to optimize revenue cycle for Medicaid payers. The software ensures compliance with Medicaid-specific coding requirements such as HCPCS and modifiers, while providing real-time analytics for billing efficiency.

Therabill is a cloud-based billing software tailored for therapists and behavioral health providers, specializing in insurance claims submission including Medicaid. It automates superbills, electronic claims (837), ERA posting, and patient payments while ensuring HIPAA compliance. The platform focuses on simplicity for small practices, integrating basic scheduling and progress note tools to streamline revenue cycle management.

SimplePractice is a comprehensive practice management and EHR platform tailored for behavioral health and wellness professionals, featuring tools for scheduling, telehealth, documentation, and insurance billing. As a Medicaid billing solution, it supports electronic claims submission to many state Medicaid programs via integrated clearinghouses, eligibility checks, and automated payment posting. It helps streamline revenue cycle management while ensuring HIPAA compliance, though coverage varies by state-specific requirements.

DrChrono is a cloud-based EHR and practice management platform with integrated medical billing features tailored for healthcare providers handling Medicaid claims. It supports electronic eligibility verification, claims submission to Medicaid payers via clearinghouses, and revenue cycle management tools to streamline reimbursements. The software combines patient charting, scheduling, and billing in a mobile-friendly interface, ensuring HIPAA compliance and efficient workflows for small to mid-sized practices.