| Today, CMS released a State Health Official (SHO) letter that provides guidance to states on policy for Medicaid and the Childrens Health Insurance Program (CHIP) to allow one provider to discuss a Medicaid or CHIP beneficiarys case with a specialist, with or without the beneficiary present, and to pay the specialist for their services directly. The current policy only allows payment in this circumstance if the provider who is seeking the consultation is paid for the consulted providers services and then pays the consulted provider directly. This change more directly links routine care with specialty care, allowing more people to benefit from practitioners with specialized knowledge. For more, read the full letter https://www.medicaid.gov/federal-policy-guidance/downloads/sho23001.pdf. |
