Stark_Physcian Self-Referral / Medicaid Application of Stark

Article Overview

This brief article addresses the relationship between Stark self-referral rules and Medicaid reimbursement policy. It is relevant for providers, compliance staff, and coders working with physician referral arrangements in Medicaid, especially where federal payment participation and plan-based exceptions are in scope. The article references the applicable federal regulation and notes that certain Medicaid managed care arrangements are treated differently, with a cross-reference to related plan guidance.