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Medicare Incentive Payments in Health Professional Shortage Areas and Physician Scarcity Areas

Link view program website
Sponsor Centers for Medicare and Medicaid Services
Deadlines Applications accepted on an ongoing basis
Contact
Purpose

Physicians in geographic Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs) can receive incentive payments from Medicare. Psychiatrists practicing in mental health HPSAs are also eligible. Payments are made on a quarterly basis, rather than claim-by-claim, and are handled by each area's Medicare carrier.

CMS automatically makes bonus payments to most eligible physicians. However, physicians who provide services in eligible areas for which the zip code is not considered dominant for the area will need to add a modifier to their claims to receive the bonus payment.

Eligibility

Physicians in geographic Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs)

Psychiatrists practicing in mental health HPSAs are also eligible.

A list of eligible zip codes and those which will be paid automatically is available on the program web site.

Geographic
coverage
Nationwide
Amount of
funding

Physicians receive incentive payments from Medicare.

Application
process
For information about the current Medicare incentive payments, please contact your area's Medicare carrier.
Tagged as Health services, Medicare and Medicaid, Physicians and mid-level practitioners



For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RAC does not take part in application processes or monitor application status.

Related Content

Organization:
Centers for Medicare and Medicaid Services, view details

Phone: 1-800-270-1898
Email: info@raconline.org

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Funding for this project was supported by Grant Number U56RH05539 from the Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services. The contents of this website are solely the responsibility of the authors and do not necessarily represent the official views of the funder.