I locked myself out of my account, what should I do?
Do I have to log out of the system when I am finished working in the application and want to exit the system?
How do I add new users to the system?
Who should be contacted with questions?
If a state were to proceed with implementation on January 1, 2013, and submit a
No. As noted in the final rule, Federal Financial Participation (FFP) in increased rates will not be available until the State Plan Amendment (SPA) is approved.
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Is it permissible for states with Medicare geographic adjustments that opt to develop rates based
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.
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If the supervising physician does not self-attest to the physician specialty or subspecialty qualification under
The eligibility of services provided by mid-level/non-physician practitioners is dependent on 1) the eligibility of the physician and 2) whether or not the physician accepts professional responsibility for the services provided by the mid-level. As previously noted, physicians are eligible only if they first self-attest to a specified specialty designation and also to either being appropriately Board certified or having a 60 percent claims history.
In our state, advanced practice nurses must have a collaborative practice agreement with a physician
Increased payment is available for services provided by eligible physicians or for services provided under their personal supervision. This means that the physician accepts professional responsibility (and legal liability) for the services provided. It does not appear that the collaborative arrangement requires that the physician accept professional responsibility for each of the services provided by the nurses. Therefore, increased payment would not be available.
Federally qualified health centers (FQHCs)/ rural health clinics (RHCs) which receive an encounter rate are
FQHCs and RHCs are required by law to be paid at least prospective payment system (PPS) for core primary care services. Physician services are core FQHC and RHC services and, therefore, should not be reimbursed on a fee-for-service basis.
The final rule for CMS 2370-F indicated that 100 percent Federal Financial Participation (FFP) is
The Center for Medicare & Medicaid Services (CMS) approves CHIP programs as stand-alone or Medicaid expansions.