Medicaid Primary Care Incentive Payment Update

    By: Melissa Zarzycki on Mar 07, 2013

    Medicaid Primary Care Incentive Payments Delayed, but will be Retroactive
    MSNJ confirmed with DMAHS that the division will file the necessary State Plan Amendment (SPA) to obtain federal approval for the primary care incentive payments for fee-for service physicians. The SPA is due to the federal government by March 31st. Once the State receives approval and increases the rates, retroactive payments (going back to January 1, 2013) will be made to physicians who qualify under the federal regulations. Read more.

    Medicaid Primary Care Incentive Payment Attestation: March 15th Deadline for FFS Physicians
    CMS clarified that all physicians who qualify for the ACA enhanced payments to Medicaid primary care providers must complete an attestation form indicating board certification status in a primary care specialty. The deadline for submission of the ACA Self-Attestation Form for traditional fee-for-service Medicaid is March 15, 2013. An original signature is required; therefore the form must be mailed to: Molina Medicaid Solutions, P.O. Box 4804, Trenton, NJ 08650. Fee for service physicians who do not file the attestation form by March 15th will not receive the retroactive payments. Fee-for-service physicians are also being "reminded of the importance of reporting their true usual and customary charges on these claims" to "ensure that adjustment payments for eligible claims can be processed correctly." Please see the DMAHS newsletter for details. The fee-for-service deadline does not apply to physicians in the MCOs; a deadline will be provided in a letter to the physician from the MCO. Read more.

    Released: March 7, 2013, 7:32 am
    Keywords: Announcements | NEWS

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