Wednesday, July 6, 2011

Delay in Implementation of New Provider Rates for FY 2011-12

FY 2011-12 provider rates will be reduced beginning July 1, 2011 to help balance the state budget. This reduction was announced in the June 2011 Provider Bulletin. Although the effective date is July 1, 2011, we need to wait for an official approval from the Centers for Medicare and Medicaid Services (CMS), to implement the change for all reductions, except for Home and Community Based Services. Reimbursement for services delivered on or before July 1, 2011 will be retroactively applied once approval is granted. Until approval is received, providers will be paid at the FY 2010-11 rates. For Home and Community Based Services, the rate reductions will be applied beginning July 1, 2011.We apologize for the any administrative difficulties this presents. You can be assured that we are working as quickly as possible with CMS to implement the new rates. Please refer to the July 2011 Provider Bulletin (B1100303) or contact ACS Provider Services at 1-800-237-0757 or 1-800-237-0044.