Medicaid Withhold
Sembert, Fran - Eagle
I wanted to let everyone know that on the NCMS Legislative Cabinet call last night, Steve Keene said the budget that was passed did include a 3% withhold but as we know most or none of that withhold will ever be seen by providers again.
Thought with all the cheery info were getting from NCTracks, I wanted to make sure to give you more MK bad news.
Fran Sembert, CMPE
Director, Business Services
Eagle Physicians and Associates, PA
324 W Wendover Ave, Suite 200
PO Box 14520
Greensboro, NC 27415-4520
336-268-3201 (P) 336-275-0812 (F)
In Accordance With NC Statute § 131E‑107
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Cameron Cox lll
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Sembert, Fran - Eagle
I don’t know. Conor can chime in as I’m sure he knows.
Creates a shared savings program, wherein DHHS will withhold 3% of Medicaid payments to doctors, hospitals, dentists, drugs, personal care services, chiropractors, podiatrists, nursing homes, adult care homes, opticians and optical suppliers and hearing-aid providers, with payments being paid back to the providers starting Jan, 2015 if those providers save Medicaid dollars.
Susan Childs
Conor Brockett
Yes, I’ll chime in.
The budget is a biennial spending plan, so once the Governor signs it, the whole package is effective as of July 1.
As for the actual 3% payment withholds, those will begin for all providers with 2014 dates of service, so the answer to Cam’s original question is Jan 1, 2014.
There is an exception, however, for primary care since under PPACA they are paid Medicare rates through 2015. Therefore, those services will not be subject to the withhold.
Also, DHHS must have a plan in place by July 1, 2014 that outlines how the various provider-types may qualify to receive *some* of the withheld funds back.
We still have a lot of questions about how this is going to be implemented.
Conor
Cameron Cox lll
Is this something we should deliver to our groups via a Newsflash for NCMGM? Many groups need to “budget” for this since it goes into effect in five months.
Cam
Cameron Cox lll
200 Timber Hill Place, Suite 222 Chapel Hill, NC 27514
(919) 960-0336 P | (919) 368-0741 M
Confidentiality Statement: This transmission may contain confidential information, including but not limited to, health, financial, or business-related, that is legally privileged. This information is intended only for the use of the individuals or entities listed above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this information in error, please notify the sender immediately and arrange for the return or destruction of these documents.
Susan Childs
Is this something we should deliver to our groups via a Newsflash for NCMGM? Many groups need to “budget” for this since it goes into effect in five months.CamCameron Cox lll200 Timber Hill Place, Suite 222 Chapel Hill, NC 27514
Confidentiality Statement: This transmission may contain confidential information, including but not limited to, health, financial, or business-related, that is legally privileged. This information is intended only for the use of the individuals or entities listed above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this information in error, please notify the sender immediately and arrange for the return or destruction of these documents.
From: Advocacy...@googlegroups.com [mailto:AdvocacycommNCMGM@googlegroups.com] On Behalf Of Conor Brockett
Sent: Monday, July 29, 2013 1:51 PM
To: 'Advocacy...@googlegroups.com'
Subject: RE: Medicaid WithholdYes, I’ll chime in.The budget is a biennial spending plan, so once the Governor signs it, the whole package is effective as of July 1.As for the actual 3% payment withholds, those will begin for all providers with 2014 dates of service, so the answer to Cam’s original question is Jan 1, 2014.There is an exception, however, for primary care since under PPACA they are paid Medicare rates through 2015. Therefore, those services will not be subject to the withhold.Also, DHHS must have a plan in place by July 1, 2014 that outlines how the various provider-types may qualify to receive *some* of the withheld funds back.
We still have a lot of questions about how this is going to be implemented.Conor
Sembert, Fran - Eagle
I can put something together based on Conor’s info and ask Melissa to send it out in the next blog.
This is going to add fuel to the fire and will certainly make some specialists stop seeing MK patients all together.
Susan Childs
Cameron Cox lll
Add in sequestration and the current potential of 24% cut in Medicare….
Cameron Cox lll
200 Timber Hill Place, Suite 222 Chapel Hill, NC 27514
(919) 960-0336 P | (919) 368-0741 M
Confidentiality Statement: This transmission may contain confidential information, including but not limited to, health, financial, or business-related, that is legally privileged. This information is intended only for the use of the individuals or entities listed above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this information in error, please notify the sender immediately and arrange for the return or destruction of these documents.