Qualified providers may receive increased primary care services payments

Qualified providers may receive increased primary care services payments

During the 2014 legislative session, the Mississippi Division of Medicaid (DOM) was granted the authority to continue reimbursing eligible providers, as determined by the Patient Protection and Affordable Care Act (ACA), for certain primary care services at 100 percent of the rate established under Medicare. DOM submitted a public notice to inform providers a State Plan Amendment (SPA) will be submitted, effective Jan. 1, 2015, to continue reimbursement of primary care services to providers who meet the requirements of 42 CFR § 447.440(a) at the same rate as in calendar year 2014.

Effective July 1, 2015, reimbursement of primary care services provided by eligible providers will be at 100 percent of the Medicare Physician Fee Schedule in effect as of January 1 of each year. The Medicaid Primary Care Provider Fee Schedule will be updated July 1 of each year based on one hundred percent of the Medicare Physician Fee Schedule in effect as of January 1 of each year.

Medicaid-enrolled primary care providers who qualify for the increased payment may receive increased payments after the federal program ended on Dec. 31, 2014. To qualify, eligible providers must accurately self-attest by completing the 1/1/2015 – 6/30/2016 Self-Attestation Statement form.

How to Attest

Providers must complete one 1/1/2015 – 6/30/2016 Self-Attestation Statement form for Jan. 1, 2015 through June 30, 2016. To receive the increased payment for dates of service (DOS) beginning 1/1/2015, eligible providers must send a completed and signed 1/1/2015 – 6/30/2016 Self-Attestation Statement form to Conduent Provider Enrollment by March 31, 2015 through one of the following ways:

Email: msinquiries@conduent.com
Fax: 888-495-8169
Mail: P.O. Box 23078, Jackson, MS 39225

Providers whose 1/1/2015 – 6/30/2016 Self-Attestation Statement forms are sent/postmarked after March 31, 2015, will receive the increased payment for DOS beginning on the date the form is sent/postmarked. Providers can verify the processing of the electronically submitted 1/1/2015 – 6/30/2016 Self-Attestation Statement forms by accessing the Envision Web Portal. Forms are processed within five business days from receipt.

Self-Attestation Statement form

The 1/1/2015 – 6/30/2016 Self-Attestation Statement form is located on the DOM website and Envision Web Portal or can be requested by calling the Conduent Call Center toll-free at 800-884-3222.

• Self-Attestation Statement form

Completed forms must be submitted to Conduent Provider Enrollment in one of the following ways:

Email: msinquiries@conduent.com
Fax: 888-495-8169
Mail: P.O. Box 23078, Jackson, MS 39225

Resources

• Primary care physician self-attestation general instructions