Medicaid Proposal Would Update Primary Care Rate Eligibility

Posted on November 30, 2017

On Nov. 27, the Medical Services Administration (MSA) released a concurrent proposed and final policy to allow additional physicians to qualify for higher Medicaid payments for primary care services, effective for dates of service on and after Jan. 1, 2018. Featured in Monday Report. Click to view the full edition. The rule would add physicians who have a specialty designation of general medicine in the Community Health Automated Medicaid Processing System to those eligible for the higher rates. Physicians with a specialty designation of family medicine, general internal medicine or pediatric medicine currently receive the increased rates under a January 2015 MSA policy.

The MHA encourages hospitals and health systems to submit comments on the proposed policy to the MSA by Jan. 1. Members with questions should contact Jason Jorkasky at the MHA.



Tags: Medicaid, CMS, MSA, comments, proposed policy

Posted in: Member News

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