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How will providers enrolled in the HIV Primary Care Medicaid Program be reimbursed for HIV counseling and testing when a rapid HIV test is used?

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How will providers enrolled in the HIV Primary Care Medicaid Program be reimbursed for HIV counseling and testing when a rapid HIV test is used?

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Health facilities enrolled in the HIV Primary Care Medicaid Program will bill the HIV testing visit for their eligible patients. When the test is preliminary positive, they may bill an HIV post-test positive visit on the same day 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. Complete program visit and documentation standards are detailed in AI DOHM 06-01. Reimbursement will be available to physicians enrolled in the HIV Enhanced Fees for Physicians Program (HIV EFP) to cover the costs of the rapid HIV test kit. To be eligible for this reimbursement, the HIV-EFP physician must have submitted 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) 426-1383 for information on enrollment in HIV EFP. Birth facilities currently receive a Medicaid payment of $96 f

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