This State Plan Amendment proposes to add a Prescriber Tool Alternative Payment Model (PTAPM) to the Physician pages, specifically the Other Licensed Practitioner (OLP) pages, which provides incentive payments to billing providers for utilization of the Real Time Benefit Inquiry Module of the Prescriber Tool and of the Preferred Drug List.
Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.