Eight have implemented fee-for-service payment, but haven't done so for Medicaid managed care. Those states are Florida, Georgia, Louisiana, Michigan, Minnesota, New Mexico, New York and Washington.
Another six states still are not making parity payments of any kind: California, Kentucky, Nebraska, New Jersey, Texas and Wisconsin.
Also, the AAFP points out that Alaska “is not participating” in the program, and that North Dakota primary-care docs will experience only a “nominal increase.” Tennessee doesn't have a Medicaid fee-for-service program, only managed care.
At least in Wisconsin, however, payments are on their way, said Chris Rasch, director of state and federal relations for the Wisconsin Medical Society.
Rasch said the Wisconsin Department of Health Services started this week to process the 800,000 Medicaid claims filed this year by the state's 5,100 physicians who self-attested as primary-care providers before Oct. 31. He added that payments should start coming sometime this month. Physicians can still self-attest to their status as a primary-care provider, but their payments won't begin until next year.
But problems persist even in states where the parity payments have been implemented. The Ohio Academy of Family Physicians reported that July payments were short due to new codes used by the Ohio Department of Medicaid, which was working to automate payment adjustments.
The AAFP, which has called upon Congress to make the parity provision permanent, noted that states will receive an estimated $5.8 billion in 2013 and $6.1 billion in 2014 to pay for the increased reimbursement.