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

 
Program
web site
http://www.cms.hhs.gov/HPSAPSAPhysicianBonuses/
Sponsor Centers for Medicare and Medicaid Services
Deadlines Applications accepted on an ongoing basis
Purpose Physicians in geographic Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs) can receive incentive payments from Medicare. 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)

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
Application
process
For information about the current Medicare incentive payments, please contact your area's Medicare carrier.
 

Summaries of funding programs are provided by RAC for your convenience. Please contact the funder directly for the most complete and current information.