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MAKE SURE YOU APPLY FOR INCREASED MEDICAID PAYMENTS

 

Alabama

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The Alabama Medicaid Agency sent letters to physicians enrolled with a primary care specialty or subspecialty designation, its website states. Qualifying physicians who attested before June 8 will receive payments retroactive to Jan. 1, according to an Alabama Medicaid spokesperson. Providers who attest on or after June 8 will be paid enhanced rates for dates of services that start on the date the attestation is entered into the agency's system.

 

Arkansas

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Providers will start receiving payments in the quarter they attest, though they are eligible for payments retroactive to Jan. 1 of the current calendar year, according to frequently asked questions on Arkansas Medicaid's website. Payments will be in a quarterly lump sum and shown under the "financial transactions" section of your remittance advice, according to Arkansas Medicaid.

 

Connecticut

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Providers who attested between Jan. 18 and March 31 will receive increased reimbursement dating back to Jan.1, according to a January provider bulletin from the State's Department of Social Services' Medical Assistance Program. Those who attest after April 1 will receive increased payments starting on the date of the attestation.

 

Florida

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The state's Agency for Health Care Administration encourages providers to use the electronic attestation form to speed increased reimbursement. The form is available in the secure Florida Medical Web Portal under "Quick Links." "The Medicaid fiscal agency will complete a one-time reprocessing of claims after May 31, 2013, for dates of service on or after Jan. 1, 2013, "according to an April 5 update."

 

Iowa

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The Iowa Medicaid Enterprise does not have specific dates in a letter to providers or list of frequently asked questions from November 2012 on its website. It does note that states can limit retroactive payments.

 

Kansas

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Providers had to complete the certification and attestation form before March 31 to receive payments retroactive to Jan. 1. Providers who fill out the form after that date will receive increased payments starting on the date of the attestation, according to a February 2013 Kansas Medical Assistance Program general bulletin.

 

Maryland

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Most Maryland providers, including specialists and nurse practitioners, who bill for E/M services and vaccine administration codes are eligible for the payment increases, according to the state's Department of Health and Mental Hygiene website. Providers do not need to attest to receive the payment increase from Medicaid fee-for-service or managed care programs, but the state cannot use federal funds unless providers submit the primary care attestation form.

 

Mississippi

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The state's division of Medicaid doesn't specify dates by which providers must attest for retroactive payments in a letter that accompanies the self-attestation statement form. Click PDF link to view the form and letter.

 

Missouri

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The state government budgeted $50.7 million to implement the Medicaid payment increase for primary care providers from Jan. 1 to June 30, according to a July 2012 provider bulletin. Make sure to use the revised form to attest for the program.

 

Montana

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Services that qualify for increased payments that were performed before the physician completed her attestation "may be adjusted back to Jan. 1, 2013," according to a Feb. 8, 2013, Montana Health Care Programs Notice. The notice does not provide a specific date by which providers have to complete the attestation to receive the retroactive payments.

 

New Hampshire

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Submit attestation forms by fax, email or mail to the Department of Health and Human Services' Office of Medicaid Business & Policy by July 1 to receive payment for the first quarter of 2013, the department's website states. The state will start making payments in July.

 

Pennsylvania

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Physicians who attested to their eligibility by April 1 will have claims reprocessed for payments retroactive to Jan. 1, according to a May 23, Pennsylvania Department of Public Welfare medical assistance bulletin. Physicians attesting to the 60% threshold for vaccine procedure codes must do so by July 1 to receive retroactive payments. The department will begin mass claim adjustments at the end of June.

 

Rhode Island

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Providers who attested by June 9 will receive fee increases retroactive to Jan. 1, according to a letter from the state's Medicaid director. Those who attest after June 9 will receive increases starting on the date of their attestations.

 

Tennessee

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TennCare must receive completed attestation forms by July 15 for providers to get increased payments retroactive to Jan. 1, according to a TennCare website about the enhanced rates. Providers do not need to resubmit eligible claims. For providers who do not attest before July 15, "payments will be adjusted retroactively only for dates of service on or after the date the form was received" by TennCare or a managed care.

 

Virginia

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The state will start paying eligible providers in the July 19 remit, according to frequently asked questions posted on the state's Medicaid website. It will base quarterly payments on the qualifying claims with Friday remittance dates within the quarter, according to the March 22 Medicaid memo.

 

Washington

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Eligible providers need to attach modifier -AG in the secondary position to each code to receive payment, according to frequently asked questions on the Washington State Health Care Authority website about the program. Claims for which the modifier was erroneously omitted should not be rebilled.

 

Wyoming

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Providers have until Sept. 30 to complete the self-attestation form to receive increased payments retroactive to Jan.1. Wyoming Medicaid will process monthly adjustments as physicians' attestations are received, according to an online memo accompanying the attestation form.

 

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