Revision: ATTACHMENT 4.19-B
Section 24, Page 1a
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
State: __________________
METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES-
OTHER TYPES OF CARE
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Item VIII: Payment of Title XVIII Part B Outpatient Psychiatric Services
Except for a nominal recipient co-payment, if applicable, the Medicaid agency makes payment for Medicare cost-sharing based on the following:
Group |
State Plan Rates * |
Medicare Allowable amount based on 62.5% of charges |
QMB |
|
|
QMB Plus |
|
|
FBDE |
|
|
* For Medicare services which are not otherwise covered by this State plan, the Medicaid agency uses the methodology specified on page 3 of this supplement.
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TN: ______ Approval Date ___ Effective Date______
Supersedes TN:_____
| File Type | application/msword |
| File Title | Revision: |
| Author | CMS |
| Last Modified By | Annette Pearson |
| File Modified | 2015-04-09 |
| File Created | 2015-04-09 |