KanCare FAQs
Are the Medicaid managed care organizations allowed to reimburse non-contracting providers for ED services below the Medicaid FFS rate?
Yes, according to a March 31, 2006 letter (SMDL #06-010) from CMS to State Medicaid Directors, CMS indicated that states could pay “up to” the Medicaid FFS rate.
The CMS letter, SMDL #06-010, can be found at: http://new.dhh.louisiana.gov/assets/docs/Making_Medicaid_Better/Resources/LHA_Response/SMD06010_Non-contracted_ER_3-31-06.pdf