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
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Procedure Codes
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Beginning July 11, 2008
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View
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Reimbursement for surgical assistants will be at the Medicaid
fee-for-service rate for the particular procedure code.
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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.