MACBasics: The Medicaid Fee For Service Provider Payment Process

November 6, 2011 On November 6, 2011, the Medicaid and CHIP Payment and Access Commission (MACPAC) released a report on state variation of the specific policies regarding Medicaid Fee-For-Service (FFS) provider payment. The report provides an overview of the typical Medicaid provider claims submission and payment process, as well as additional non-claims-based payment processes. It also briefly describes post-payment review processes and the use of payment data for administrative purposes including program analysis and program integrity. In addition to FFS programs, payment for services under managed care is also briefly addressed. Download the Report . . .