We believe this would be acceptable. However, the Centers for Medicare & Medicaid Services (CMS) would review the methodology as part of the SPA approval process.
Supplemental Links:
Date
Topic
Medicaid and CHIP Program (MACPro)
Affordable Care Act
Sub Topic
Final Rule
Medicaid Expansion
Primary Care Services
FAQ ID
92716
FAQ Page
Frequently Asked Questions
FAQ Question
Is it permissible for states with Medicare geographic adjustments that opt to develop rates based on the mean Medicare rate over all counties for each Evaluation & Management code under CMS 2370-F to use a weighted mean based on either the county population or the county Medicaid enrollment?