Agency for Health Care Administration, Medicaid

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Medicaid

    Agency for Health Care Administration

    The Florida Agency for Health Care Administration (the Agency), Bureau of Medicaid Program Finance, provides the following public notice regarding a State Plan Amendment (SPA) for Physician’s Supplemental Payments.

    Florida medical schools are developing a proposed revised supplemental payment methodology using a campus-specific enhanced fee schedule for each CPT Code based on the major three to five contracted commercial insured rates, which constitute 90% of the volume of the commercial business. The updated methodology would become effective in a State Plan Amendment July 1, 2013, and will be applicable to fee-for-service claims. We do not intend to base the supplemental payment methodology on Medicare payments.

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