Wednesday, March 25, 2015

HCPF Updates: E&M and vaccination rate increases, and ACA Implementation News

CMS has approved the Department’s rate increase to E&M and vaccination codes, bringing them on par with Medicare rates published in December 2014.  These rates took effect on January 1, 2015, but we were unable to pay the rates until CMS approved them.  The Department’s fiscal agent is loading the rates into the MMIS.  Once loaded, any qualified E&M or vaccination claim will be paid at the new rate.  Providers are not required to attest to providing primary care. Our fiscal agent will also mass adjust all qualified claims paid since January 1st, and repay them at the higher rate.

Click here to view the latest issue of the Department of Heath Care Policy and Financing's ACA Implementation News.” [Source: HCPF]

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