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Rural Health Information Hub

Formerly the
Rural Assistance Center

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

Sponsor
Centers for Medicare and Medicaid Services
Deadlines
Applications accepted on an ongoing basis
Contact

A list of contacts by geographic area is available on the CMS website.

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 website.

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
Behavioral health · Behavioral health workforce · Medicare · Physicians · Reimbursement and payment models



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