This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Primary Care Enhanced Physician Rates "bump" Certification and Attestation Form is a legal document that was released by the Alabama Medicaid Agency - a government authority operating within Alabama.
Q: What is the Primary Care Enhanced Physician Rates 'bump' Certification and Attestation Form?
A: The form is a certification and attestation document for physicians in Alabama to apply for enhanced rates for primary care services.
Q: What is the purpose of the form?
A: The form is used to verify and attest that a physician qualifies for enhanced rates for providing primary care services.
Q: Who needs to fill out this form?
A: Physicians in Alabama who want to apply for enhanced rates for primary care services need to fill out this form.
Q: What are the enhanced rates for primary care services?
A: The enhanced rates refer to higher reimbursement rates that physicians can receive for providing primary care services in Alabama.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.