We believe that smarter programs build stronger communities

Paradigm Healthcare Services is a full-scale Medicaid reimbursement billing partner serving local education and government agencies. As the first school-based Medicaid vendor in California, our services and the reimbursements they garner have reached millions of children nationwide.

Annually, our clients recover over $100 million in federal reimbursements that support school and community health services. Managing Medicaid reimbursement programs for over two decades has given Paradigm the experience to know what works, what matters, and how to produce audit  ready results.

Meet our team

Leadership Team

Paradigm is the model in our field, and the strength of our reputation lies in our expertise and customer service. Our team is comprised of dedicated health, education, and technology specialists who work together to ensure each client gets the attention and support they need to receive maximum federal reimbursements.

Account Managers

Every Paradigm client benefits from a dedicated account manager, and our team is top notch! Our account managers work closely with their clients to make sure that all information is being captured for reimbursement, including informing clients about compliance with rules, regulations, and best practices. This hands-on service often means the difference between a functional program and a maximized, protected program.

Our History

In 1993, Paradigm embarked on a pilot project with San Diego Unified School District and the Department of Health Care Services to bring direct Medicaid billing to schools. Within a year, a successful program was rolled out to hundreds of school districts throughout California, providing a viable mechanism for schools to consistently receive federal funds for health services.

This program eventually became the LEA Medi-Cal Billing Option program, and we have been offering our assistance and expertise in school Medicaid billing programs ever since.

We are also a leading provider of Medicaid administrative claiming services. Starting in 1998, we began consulting with CBOs, hospitals, and local governmental agencies to establish their local MAA claiming programs and were the first to roll out MAA to California schools.

Interested in working for Paradigm?

Paradigm Healthcare Services is always looking for exceptional talent.

Contact Us