016-27-20 Ark. Code R. § 22

Current through Register Vol. 49, No. 6, June, 2024

Rule 016.27.20-022 - SPA #2020-23 Physicians? Evaluation & Management Code Rate Increase

ATTACHMENT 4.19-B

METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES -OTHER TYPES OF CARE

5.Physician Services (Continued)

F.For dates of service beginning January 1, 2021, the maximum reimbursement rate for evaluation and management codes are increased by 3 percent of the 7/1/2020 fee-for-service rate for each of these codes. Except as otherwise noted in the plan, state-developed fee schedule rates are the same for both governmental and private providers of evaluation and management services. The agency's fee schedule rate was set as of January 1,2021 and is effective for services provided on or after that date. All rates are published on the agency's website, (http://medicaid.mmis.arkansas.gov/).

Effective for dates of service on or after July 1, 2020, the immunization administration fee for influenza will be based on the 2020 Medicare flu vaccine administration fee. All other immunization administration fees will be based on Medicare's 2020 physician fee schedule for the State of Arkansas. The rate is paid to all governmental and non-governmental providers, unless otherwise specified in the state plan. All rates are published at the agency's website, (http://medicaid.mmis.arkansas.gov/).

016.27.20 Ark. Code R. § 022

Adopted by Arkansas Register Volume MMXXI Number 01, Effective 1/1/2021