Friday, October 23, 2015

How and When to Self-Attest

The Self-Attestation Form is posted online at Providers should return the completed forms by email or fax to the email address/ fax number noted on the self-attestation form. To receive payments for 2013, forms should be submitted to Molina by no later than December 31, 2013. However, providers are encouraged to submit the forms as soon as possible.

Retroactive Self-Attestations and Retroactive Payments

All eligible providers who return the Calendar Year (CY) 2013 Self-Attestation Form by December 31, 2013 will be eligible to receive a retroactive reimbursement back to January 1, 2013. If a provider returns the required Self-Attestation Form after December 31, 2013, they will be ineligible to receive retroactive payments for calendar year 2013 but may submit the CY 2014 Self-Attestation Form for enhanced payments for CY 2014.

BMS is currently undergoing system changes to their Medicaid Management Information System (MMIS) required to implement these enhanced payments to primary care providers. Additionally, BMS is working with the Centers for Medicare & Medicaid Services (CMS) for approval to change West Virginia’s Medicaid State Plan. Payments will not be made until necessary system changes are complete and CMS approves West Virginia’s Medicaid State Plan Amendment. Therefore, there may be lag time between when a Self-Attestation Form is submitted and approved and when the enhanced payments begin. However, because retroactive payments will be made, the lag time will not impact the amount providers are reimbursed each calendar year. This enhanced rate will only be available during the calendar years 2013 and 2014. At the end of this period, the enhanced Federal funding for this program expires and the enhanced rate for Medicaid services will end.

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