New attestation process alert for Medicaid PCP & OB-GYN

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The Department of Community Health (DCH) and Hewlett-Packard Enterprise have implemented an “electronic H.B. 751 rate increase attestation process for physicians and physician extenders” – and DCH stresses that “paper attestations will [no longer] be accepted.”

H. B. 751 increased reimbursement rates for select primary care and OB/GYN codes to 100 percent of the 2014 Medicare reimbursement rates.

DCH explains that, “The H.B. 751 rate increase attestation must be completed for EACH location for which the provider is enrolled and wishes to receive the increased reimbursement rate. Failure to submit the H.B. 751 rate increase attestation for each location by the deadline noted below will result in the provider not receiving the rate increase at that particular location.”

DCH also notes that, “Providers who previously attested under the original Affordable Care Act (calendar year 2013 and 2014) that have subsequently transitioned to a new practice group (new employer or new practice) or have opened additional locations are not eligible for the rate increase at the new practice group or the additional locations.”

And DCH says that, “The attestation submission timeframe for currently enrolled physicians and physician extenders is December 1, 2016 through January 31, 2017. Claims mass adjustments will begin February 1, 2017. Failure to submit the H.B. 751 rate increase attestation during the timeframe of December 1, 2016 through January 31, 2017 will result in the provider not receiving the rate increase for that particular location.”

Call 800.766.4456 with questions.

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