HMP Global January 6, 2023
The US Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced a new policy to expand access to specialty consultations for beneficiaries enrolled in state Medicaid and Children’s Health Insurance Program (CHIP) plans.
According to a CMS press release, the policy will permit Medicaid and CHIP plans to pay specialty providers directly for interprofessional consultations, eliminating the need to coordinate payment through additional paperwork. For instance, if a pediatrician seeks advice from a specialty behavioral health care provider, both providers can be reimbursed directly for the patient’s care, even if the patient did not attend an in-person appointment with the specialist.
The policy is intended to link routine care with specialty care...
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