Enhanced payments due to the Affordable Care Act

Beginning this week, providers who have been certified by the State will start to receive enhanced payments associated with the Affordable Care Act. The Affordable Care Act requires that the Medicaid program pay at the Medicare rate for certain primary care services and to reimburse 100% Medicare Cost Share for services paid in calendar years 2013 and 2014. Providers who wish to receive the enhanced rate must attest to their qualifications.

The payments reflected in this week's checkwrite are for claims received during the prior week. Retroactive reimbursement for claims submitted since January 1 will be undertaken shortly. No action is required on the part of certified providers to receive retroactive reimbursement.

For more information about enhanced payments under the Affordable Care Act, including qualifications for reimbursement and a link to the attestation process, see the link below to the DMA website and the February 2013 Medicaid Bulletin.