How to determine if provider is eligible for Medicaid Incentive Program?
Were at least 30% of your service furnished to Medicaid Patients? (20% for Pediatricians)
Medicaid patients might be fee-for-service encounters where the State Medicaid Agency pays you for your services (this includes primary care case management and medical home programs). Also it might mean that you see patients through a state's Medicaid managed care program (i.e. you are a network provider for a managed care organization contracted to provide Medicaid services). Please contact your State Medicaid Agency about this and for more information about calculating the patient volume with precision.
