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How will Medicaid reimburse for HIV counseling and testing when a rapid HIV test is used?

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How will Medicaid reimburse for HIV counseling and testing when a rapid HIV test is used?

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Effective May 1, 2003, health facilities enrolled in the HIV Primary Care Medicaid Program may bill an HIV pre-test counseling visit on the same day as an HIV post-test counseling visit when rapid testing technology is used. No reimbursement will be available to Article 28 facilities to cover the costs of the rapid HIV test kit or test kit controls. Physicians enrolled in the HIV Enhanced Fees for Physicians Program (HIV EFP) will receive billing instructions for HIV counseling and rapid testing at a later date. Reimbursement will be available to physicians enrolled in HIV EFP to cover the costs of the rapid HIV test kit. To be eligible for this reimbursement , the HIV-EFP physician must submit an application to the DOH Physician Office Laboratory Evaluation Program (POLEP). Contact POLEP at (518) 485-5352 for further information. Contact John Schnurr at (518) 473-8427 for information on enrollment in HIV EFP. Birth facilities currently receive a Medicaid payment of $96 for every exped

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