The Medicaid Provider Profile page shows the Medicaid services provided by your facility, along with the values and effective dates of Medicaid reimbursement calculations.
- To access the Medicaid Provider Profile page, select Go To > Government Payor Research > Medicaid > Provider Profile. The Medicaid Provider Profile page opens.
- In the Select State or Payer drop down list, select AZ.
- Select Go.
- Enter the provider’s tax ID or ten-digit National Provider Identification (NPI) number for the provider you want to review in the NPI or Provider Number field.
- Enter a date in the Effective Date field if you want to view provider profile information for an effective date other than today.
- Click Display Profile. The Medicaid Provider Profile information displays.
Note: To clear the results and return to original Medicaid Provider Profile page, click Reset.
- Review your Medicaid Provider Profile information.
Note: The data that displays on the provider profile varies from state to state.
Arizona Medicaid Provider Profile
The following table describes each of the fields on the Medicaid Provider Profile page for Arizona Medicaid.
|
Field |
Description |
|
State or Payer |
State or payer for the selected provider number. |
|
NPI or Provider Number |
Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims. |
|
Effective Date |
Date on which the selected profile went into effect. |
|
Profile Factors |
|
|
Facility Type |
Identifies the type of facility. |
|
Outpatient CTC |
Displays the outpatient cost to charge (CTC) ratio. |
|
Peer Group Type |
Displays the type of peer group. |
|
Peer Group Multiplier |
Displays the multiplier used for the peer group. |
|
Differential Adjustment Payment (DAP) |
Displays the Differential Adjustment Payment (DAP). |
|
Trauma Center |
Displays Yes or No indicating whether or not the facility is a trauma center. |