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May a state automate its process for identifying qualified providers under CMS 2370-F?

Yes. A state may automate its process for identifying physicians that qualify for this payment provided the process is transparent and legally binding. A state may not rely on a physician's taxonomy in place of self-attestation to Board certification or a supporting claims history. At the end of calendar years (CYs) 2013 and 2014 the Medicaid agency must review a statistically valid sample of physicians who self-attested either to Board certification or a supporting claims history to determine the validity of the data.

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Date
FAQ ID
91306
FAQ Question
May a state automate its process for identifying qualified providers under CMS 2370-F?