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FQHC Maternity Services Information
  • For the service dates, Deliveries and Ob/Gyn surgeries procedure codes listed below, FQHCs shall receive reimbursement at the higher of the Medicaid fee-for-service rate for the particular code or the FQHC’s PPS encounter rate.
    Service Dates Procedure Codes
    Beginning July 11, 2008 View

  • Reimbursement for surgical assistants will be at the Medicaid fee-for-service rate for the particular procedure code.
  • Antepartum and Postpartum encounters provided to Medicaid/NJ FamilyCare fee-for-service beneficiaries that are not included in the delivery code reimbursement, may be reimbursed to the FQHC at the PPS encounter rate.
  • Post surgical encounters provided to Medicaid/NJ FamilyCare fee-for-service beneficiaries that are not included in the Ob/Gyn surgical code reimbursement, may be reimbursed to the FQHC at the PPS encounter rate.