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Pursuant to federal law the AHCCCS Administration will be increasing reimbursement for primary care services furnished
by or under the personal supervision of certain physicians for dates of service January 1, 2013 through December 31,
2014. The increased payments are required by Sections 1902(a) (13), 1902 (jj), 1905 (dd) and 1932(f) of the Social
Security Act and federal regulations in 42 CFR Parts 438, 441, and 447. These regulations are described in the final
rule published in 77 Federal Register 66670 on November 6, 2012.
The increased payments are mandated by Section 1202 of the Affordable Care Act (ACA) which requires Medicaid programs
to pay fees to designated physicians that are no less than the Medicare fee schedule in effect for 2013 and 2014 or the
fee schedule rate that would result from applying the 2009 Medicare physician fee schedule conversion factor to the 2013
or 2014 Medicare payment rates, whichever is greater. The increased payment requirements apply to primary care and
vaccine administration services described by the following codes:
Current Procedural Terminology (CPT) Evaluation and Management (E&M) Codes 99201 through 99499, and
Increased payment rates may apply to nurse practitioners (NP) and physician assistants (PA)
when they practice under the supervision of a qualified physician.
Physicians who meet the criteria below must complete the online Attestation
form to receive enhanced reimbursement.
Increases in reimbursement are limited to physicians who
attest that they are either:
1) Board certified with a specialty designation of family medicine, general internal
medicine, or pediatric medicine, or a subspecialty of family medicine, general internal medicine, or pediatric
medicine recognized by the American Board of Medical Specialties, the American Osteopathic Association, or the
American Board of Physician Specialties ( refer to the application form) or
2) A primary care physician or
subspecialist who works in one or more of the above specialty
designations but who does not have a certification specified
in 1 but has billed at least 60% of Medicaid services provided, using the
E&M and vaccine administration codes list above, during calendar year 2012. For newly eligible physicians, the
60% billing requirement will apply to Medicaid claims for the prior month. For eligible physicians who register
as AHCCCS providers in CY13 or CY14, the 60% billing requirement will apply to Medicaid claims for the prior
month using the E&M and vaccine administration codes listed above.
After reviewing the instructions below - follow this link to the AHCCCS Online
NOTE: If you are unable to attest online, please email
OIGProvider@azahcccs.gov to request paper forms.
Online Attestation for a Physician (MD) and/or Osteopath (DO):
All corrections/changes, after attestation, will need to be sent to
OIGProvider@azahcccs.gov, and may be required to complete additional forms
For a physician who has attested and wants to include PAs or NPs under his/her supervision the Supplemental Form B must be
completed for each NP and PA. To complete the Supplemental Form B: