Quote:OK, well I saw nothing for a comparison from the link, but I took a few codes and plugged them into a medicare fee lookup I found online. While I had no idea what I was doing, it did look like there was a pretty significant difference between the Medicare reimbursement and the much lower Medicaid info from the link you gave. From what I understand, Florida sets the reimbursement rate for Medicaid. Are they severely underpaying compared to Medicare or am I reading it wrong?

Medicaid is a joint federal and state program. Each state has liberty to set their own fee schedule, but must be within the parameters of the federal guidelines if they want their share of the federal money. That's why Governor Scott's rejection of the new rulesa few years ago was a big deal, Florida didn't change our eligibilty rules and CMS withheld our funds.


Here's their page with tons of information about how that bureaucracy works.

<a class="bbc_url" href='https://www.medicaid.gov/medicaid/financing-and-reimbursement/'>https://www.medicaid.gov/medicaid/financing-and-reimbursement/</a>

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