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Frequently Asked Questions

Frequently Asked Questions are used to provide additional information and/or statutory guidance not found in State Medicaid Director Letters, State Health Official Letters, or CMCS Informational Bulletins. The different sets of FAQs as originally released can be accessed below.

Showing 61 to 70 of 77 results

What should I do if I am experiencing connectivity issues, freezing, or slowness within MACPro?

Please provide the following information to the Help Desk:

  • Who is your Internet Service Provider (ISP) and IP address?
  • What is your location?
  • What component were you using (Quality Measures, Health Homes SPA, etc.)?
  • What is the exact time the problem occurred?
  • What exactly happened?
  • What screen were you on?
  • If an error message displayed, please provide a screenshot.
  • Did the problem resolve itself? Was a page refresh or application reboot required?

FAQ ID:92821

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What does a CMS EIDM Approver need to do if the user requesting access to MACPro is not on a list of users who should have access?

The CMS EIDM Approver would need to contact the Business Owner Point of Contact (POC) for the Medicaid and CHIP Programs that are in MACPro to request verification of the user requesting access. The Business Owner POC may need to get in touch with the relevant Medicaid/CHIP State Agency directly to verify that the user requesting access is valid.

FAQ ID:92826

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How do I change my password? / How do I reset my password if I forgot it?

As MACPro and the Enterprise Identity Management Portal (EIDM) are integrated, your EIDM credentials are what you use to log into MACPro. To reset your password for MACPro, go to the link https://portal.cms.gov  and click the blue link that says "Forgot Password" under the blue log in button on the right side of the screen. You must answer your challenge questions to be able to reset your password. If you are not sure of your challenge questions, please contact the MACPro Help Desk at macpro_helpdesk@cms.hhs.gov.

FAQ ID:92831

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What are the Implementation Guides for?

Implementation guides are documents that provide specific information on how to complete and review a specific section of MACPro as a State or CMS User.

FAQ ID:92836

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I received an unexpected error message, what should I do?

Take a screenshot (Ctrl+PrtScn [PC]) of the message you see and send an email to the MACPro Help Desk atMACPro_HelpDesk@cms.hhs.gov. (MACPro underscore Help Desk). Two ways to avoid unexpected error messages are:

  1. Never use the browser back and forth arrows to navigate through MACPro; and
  2. Do not remain inactive on MACPro for more than sixty minutes.
  3. Always log out when exiting MACPro or EIDM.
  4. If you are clicking a bookmarked link to access either MACPro or EIDM, try manually typing the link or copying and pasting the link.
  5. Try refreshing your screen or clearing your cache. You can clear your cache in your browser's Options. (If you need guidance on clearing your cache, please contact the MACPro Help Desk at MACPro_HelpDesk@cms.hhs.gov.)

FAQ ID:92841

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Can a state review providers whose claims meet the 60 percent threshold and assume that those providers would be automatically eligible?

Each physician must self-attest to being a qualified provider. It is not appropriate for a state to rely on a modifier to a claim for the initial self-attestation. Under the final rule, states are not required to independently verify the eligibility of each and every physician who might qualify for higher payment. Therefore, it is important that documentation exist that the physicians themselves supplied a proper attestation. That attestation has two parts. Physicians must attest to an appropriate specialty designation and also must further attest to whether that status is based on either being Board certified or to having the proper claims history. Once the signed self-attestation is in the hands of the Medicaid agency, claims may be identified for higher payment through the use of a modifier.

Supplemental Links:

FAQ ID:94276

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With respect to the use of board certification to confirm a physician's self-attestation for CMS 2370-F eligibility must the physician's board status be current or is initial board certification sufficient?

The certification must be current. If it has lapsed but the physician still practices as an eligible specialist the self-attestation would need to be supported with a 60 percent claims history.

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FAQ ID:94296

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CMS clarified in the final rule for CMS 2370-F that, for out of state providers, the beneficiary's home state (e.g., state A) may defer to the determination of the physician's home state (e.g., state B) with respect to eligibility for higher payment. However, if states A and B receive different Medicare locality adjustments, which locality rate must be paid?

As with all Medicaid services, the state in which the beneficiary is determined eligible (state A) sets the payment rate for services. Therefore, state A would be responsible for paying using the methodology it had chosen with respect to determining the appropriate Medicare rate and would not be required to pay the rate the physician would receive from state B.

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FAQ ID:94361

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When does the Centers for Medicare & Medicaid Services (CMS) plan to issue a correction to the mistake they noted during the call with Medicaid agencies regarding payment under CMS 2370-F at the lesser of a provider's billed charge or the Medicare rate?

The correction was published in the Federal Register on December 14, 2012. In it CMS clarified that states must reimburse providers the lower or the provider’s charge or the applicable Medicare rate.

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FAQ ID:94376

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If a physician presents a certificate for CMS 2370-F eligibility from one of the defined boards, can the certificate be used as the legal document verifying the physician's certification or does the State have to verify with the board that the physician is certified and that the presented certificate is still active and valid?

States may accept the certificate and need not verify. The Centers for Medicare & Medicaid Services (CMS) expects states to make physicians aware that they are responsible for providing accurate information.

FAQ ID:92686

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