Will retroactive provider payments by health plans - necessitated by the State's retroactive payment of

Any retroactive payments made to providers in order to ensure that eligible providers receive the applicable Medicare rate for eligible services will not be considered claims subject to the requirements in 42 CFR 447.46.

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This FAQ was released as part of a larger set. View the full set. (PDF, 41.01 KB)

Date

Thu, 02/15/2018 - 12:00

Topic

Affordable Care Act

Sub Topic

Final Rule

Primary Care Services

FAQ ID

91411

FAQ Page

Frequently Asked Questions

FAQ Question

Will retroactive provider payments by health plans - necessitated by the State's retroactive payment of the higher rates to health plans - be subject to timely claims filing requirements in 42 CFR 447.46? If so, may states impose liquidated damages or other penalties on health plans for violating those requirements?