Is Neighborhood Health equal to Medicaid?
Regarding the CMS stimulus funding, pediatricians won't see enough Medicare patients so their only hope on qualifying would be the Medicaid stimulus funds. As was mentioned in another question's reply, it appears that RiteCare would qualify, but what about those pediatricians whose RiteCare population is not that high due to a higher proportion of NHP patients? NHP is not quite the commercial payer that one would hope, I don't know how the reimbursement compares to Medicaid, but the question is whether those pediatricians would be unable to qualify for any stimulus funding.
Answers
NHP would fall under the Medicaid managed care program. It can be counted as Medicaid patient volume and the same is true for UHC Medicaid. Also, it is important for physicians to quantify the number encounters for this program in order to prove that they meet the 30% physician requirement, or the 20% minimum for pediatricians. Please note that for those who fall between 20-30% range will only obtain two-thirds of the incentive.
RI.gov had a nice press release explaining how NHP and UHCMedicaid is administering the Managed Medicaid program. Here's the link: http://www.ri.gov/press/view/12001.
Furthermore, the DHS link below references the two Medicaid Managed Care programs, Neighborhood Health Plan of RI and UHCMedicaid. http://www.dhs.ri.gov/Especiallyfor/ChildrenwithSpecialNeeds/HealthMedicalServices/tabid/793/Default.aspx.
Be sure that you as an Eligible Professional that you are able to separate and identify medicaid patient volume.
Using an EHR? No