decisionhealth Newsletters, Part B News - 2013 Issue 6 (June)
How to earn increased Medicaid payments in your state as part of 2-year program
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Article Overview
This article reviews how selected states are implementing Medicaid primary care payment increases under a two-year federal program that aims to align Medicaid and Medicare payment levels for certain services. It is written for primary care physicians, nurse practitioners, and practice billing staff who need to track state Medicaid guidance, attestation deadlines, claims processing timing, and related administrative requirements. The coverage is organized by state and focuses on the timing and mechanics of payment distribution rather than clinical guidance.
Why This Topic Matters
Providers may miss retroactive payment opportunities if they do not follow state-specific notices, attestation deadlines, and claims-processing instructions. Understanding each state’s rollout helps practices avoid delays in receiving enhanced Medicaid reimbursement.
Article Sections
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Physician payments
Overview of the federal program and the general eligibility and timing framework used by states to distribute enhanced Medicaid payments.
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What to do in your state
State-by-state summaries of Medicaid agency implementation details, including attestation timing, payment schedules, and administrative steps for participating providers.
What You Will Learn
- How the Medicaid primary care payment increase program is being implemented across approved states
- What kinds of provider groups are addressed by the state guidance
- Why attestation timing and state Medicaid notices matter for payment timing
- How states are organizing payment distribution and claim processing at a high level
Who Should Read This
- Primary care physicians
- Nurse practitioners and other eligible non-physician practitioners
- Medical billing and coding staff
- Practice administrators
- Medicaid-enrolled providers
Modifiers Discussed
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