We understand that Deloitte (Center for Medicare & Medicaid Services contractor) will be calculating the

The Center for Medicare & Medicaid Services (CMS) disseminated the Deloitte fee for service tool to states through the CMS Regional Offices in early January. It permits states to develop rates for each code based on the decisions it makes about site of service and geographic adjustments. The formula used to develop the rate weights each county equally and does not incorporate a weighting factor for population. Using a rate weighted by population is not an option for states to use in developing their fee schedules.

Supplemental Links:

This FAQ was released as part of a larger set. View the full set. (PDF, 52.92 KB)

Date

Wed, 02/06/2013 - 12:00

Topic

Affordable Care Act

Sub Topic

Final Rule

FAQ ID

94036

FAQ Page

Frequently Asked Questions

FAQ Question

We understand that Deloitte (Center for Medicare & Medicaid Services contractor) will be calculating the average GPCI values across counties for each state to use in paying primary care providers under CMS 2370-F. When can we expect those values to be disseminated? Will the formula weight each county equally, or will some alternative weight be used based on county population or some other factor?