Update to Medicaid Payment Rates for Clinical Lab Fee Schedule Services Proposed

Posted on April 12, 2018

The Medical Services Administration (MSA) recently released a proposed policy to update Medicaid payment rates for services paid under the clinical laboratory fee schedule (CLFS), effective July 1. Currently, the MSA pays for CLFS services based on a percentage of historical Medicare CLFS rates. The MSA proposes to update the percentage of Medicare CLFS rates it pays to Medicaid providers annually, similar to the way it updates the Medicaid outpatient prospective payment system.  

The MHA encourages hospitals to submit comments regarding the proposed policy to the MSA by April 26, as explained in the proposal. The MHA will make its draft comments available in the near future. Members with questions should contact Vickie Kunz at the MHA.   



Tags: MSA, proposed policy, CLFS

Posted in: Member News

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