Supplemental Payments for Eligible Primary Care Physicians
Primary Care Provider Self Attestation Information
Changes to Medicaid primary care reimbursement were enacted as part of the Affordable Care Act. Eligible physicians will receive supplemental payments for services rendered between January 1, 2013, and December 31, 2015, that raise the Medicaid reimbursement to Medicare rates.
To be eligible for the increased payment, physicians must personally attest as practicing in family medicine, general internal medicine and/or pediatric medicine and be board certified or meet thresholds for providing recent primary care services. Advanced practice professionals practicing under the personal supervision of a qualified physician are eligible to receive the supplemental payment.
Providers must fill out the short Self-Attestation Form in order to be eligible for the supplemental payments.
Supplemental payments will be from the date of self-attestations.
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The Department anticipates that a quarterly supplemental payment for April - June 2014 was made late September 2014. This payment will be labeled “Supplemental” on your payment remittance. Note: Amounts are based on paid claims, not dates of service.
Primary Care Supplemental Payments