In an Increased Payment for Primary Care Services provider notice dated March 4, 2013 (pdf), the department announced it was implementing the provision of the Affordable Care Act (ACA) included in section 1202 of the Health Care and Education Reconciliation Act of 2010, which provides increased payments for specified Medicaid primary care services provided by certain qualified primary care providers. Physicians were also given the criteria that they must meet in order to qualify for the increased payment.
As part of the process, physicians were instructed to complete an HFS 2352, Certification and Attestation for Primary Care Rate Increase. The department now has created a Primary Care Provider Incentive Payment Program webpage that contains a link to the Medicaid Electronic Data Interchange (MEDI) system. Providers are asked to apply for the incentive program by completing the attestation online instead of using the paper format.
For your benefit, the department has created an ACA Approved Provider Listing by NPI (pdf) for the providers who have successfully completed their attestation. If you submitted an attestation to the department but your NPI is not on the list, please contact the Provider Participation Unit (PPU) by calling 217-782-0538 for assistance. The list is in numerical order by NPI only.
Any questions regarding this notice may be directed to the Bureau of Comprehensive Health
Services’ Provider Participation Unit at 217-782-0538.
