Medicare & Medicaid

CMS Releases Final Regulations

CMS recently released the final regulations governing the implementation of the Medicaid primary care rate increase to 2009 Medicare rates for calendar years 2013 and 2014. AMS has been working with Arkansas Medicaid to implement this program. To qualify for the increased payment, the physician must meet one…

Read More

2013 Legislative Session

On January 14, the Arkansas General Assembly will get cranked up. This will certainly be a very interesting session. The Republican Party has the majority (although very slim in the House) on both ends of the Capitol for the first time since Reconstruction. Medicaid is facing a $138…

Read More

MEDICAID PAYMENT ELIGIBILITY

The Center for Medicare and Medicaid Services (CMS) recently clarified specifics related to the increased Medicaid payment eligibility for primary care physicians, including information about certain subspecialties that may also qualify. Funding has been released to provide a two-year increase in Medicaid payment rates for certain primary…

Read More

MEDICAID FEES TO INCREASE JANUARY 2013

Beginning January, 2013, state Medicaid programs must begin paying physicians more for providing primary care services. The Affordable Care Act boosts traditionally low Medicaid rates to Medicare levels for 2013 and 2014 for certain primary care services. For Arkansas, this will mean rate increases averaging 25 percent or…

Read More

Medicare Sustainable Growth Rate Update

AMS recently joined the AMA and 109 other state and specialty medical societies in sending a message to Congress to repeal the Medicare Sustainable Growth Rate (SGR) payment formula and replace it with a system having certain core principles essential to creating a "high performing" Medicare program. Medicare…

Read More

Arkansas Physicians Support Medicaid Expansion

August 16, 2012 - Little Rock - Citing the tremendous health care needs of Arkansas poorest citizens, the statewide association for Arkansas physicians on Wednesday voted to support Medicaid expansion. On Wednesday, the Board of Trustees of the Arkansas Medical Society adopted a motion to support Medicaid expansion in…

Read More

Medicaid Set to Mail “Sample” Reports

Initial Set of Episodes:  Acute Upper Respiratory Infections, ADHD, and Pregnancy Episodes Within the next couple of days, physicians and other providers who have been identified as principal accountable providers (PAP) for the first set of episodes will begin receiving reports on their cost of care for 2011. …

Read More

Medicaid Implements “Preventable Condition” Rule

Effective July 1, 2012, Arkansas Medicaid will be implementing 42 CFR 477.26 (c)(1); which requires that all state Medicaid plans prohibit payment for "provider-preventable conditions." The umbrella term "provider-preventable conditions" (PPCs) includes two separate categories: "healthcare-acquired conditions" (HCACs) and "other provider-preventable condition" (OPPC). HCACs apply to Medicaid inpatient…

Read More