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Health Reward Stat of the Day – Oct 21

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Various states have been expanding Medicaid incentive programs for providers. Six states are offering rewards to providers to incentivize their participation in the MIPCD program as well (Table 4). Incentives for providers include $35/individual for enrolling participants in Connecticut, $308/individual for providing services to participants in Hawaii, up to $278,000 for clinics to cover study-related costs in Minnesota, and Medicaid reimbursement for providing lifestyle interventions in Montana.32

Table 4: Provider Incentives in State MIPCD Programs, 2013

State

Provider Incentives

California

NA

Connecticut

-Free online training offered for providers on smoking cessation treatment and information on Medicaid coverage for smoking cessation services and Rewards to Quit program services.-One time $35 stipend offered to providers for each new Medicaid recipient enrolled in Rewards to Quit.

Hawaii

Participating FQHCs and private providers may receive up to $308 per participant for providing supportive, supplemental services to patients.

Minnesota

Clinics receive up to $278,000 to cover study-related costs, including participants’ supports, personnel, equipment, and supplies.

Montana

Through an approved state plan amendment, selected licensed health care professionals can be reimbursed by Medicaid for providing the lifestyle intervention.

Nevada

Select providers may receive compensation for each participant for which they enter enrollment and incentive data into a web portal. Compensation is $300 per participant for YMCA, $250 per participant for Children’s Heart Center, and $275 per participant for Lied Clinic.

New Hampshire

NA

New York

NA

Texas

NA
Wisconsin Clinics and public testing sites receive $1,000 after receiving training and conducting testing. They may also select a “per member” option, which may provide additional support of $50-75 per member.
SOURCE: Kathleen Sebelius, Initial Report to Congress: Medicaid Incentives for Prevention of Chronic Diseases Evaluation, U.S. Department of Health and Human Services, November 2013. http://innovation.cms.gov/Files/reports/MIPCD_RTC.pdf.

http://kff.org/report-section/an-overview-of-medicaid-incentives-for-the-prevention-of-chronic-diseases-mipcd-grants-issue-brief-status-of-mipcd-programs-to-date-8631/

 

 

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