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Statewide Medicaid Managed Care Program Update

The Managed Medical Assistance (MMA) Physician Incentive Program (MPIP) is designed to increase compensation for physicians who meet plan-specific access and quality criteria. As of Feb. 1, 2019, every emergency physician who is contracted with the Medicaid HMO should receive an enhanced rate when treating pediatric Medicaid patients (under age 21). There are no exclusions for physician specialists; the only requirement is for physicians to contract with their respective health plan and submit their claims.

If you are contracted with the Medicaid HMO and are not receiving the enhanced rate, ask your practice to contact the HMO.

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