QUESTION: Please clarify how the various assessment and facilitation services required by the Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities will be reimbursed.
ANSWER: Special demonstration billing codes will be established to allow reimbursement for the annual cancer screening assessment for the intervention group, the entrance and exit cancer screening assessment for the control group, and the monthly capitated rates for cancer screening, diagnostic, and treatment facilitation services. The annual cancer screening assessment for the intervention group and the entrance and exit cancer screening assessment for the control group will be reimbursed as separate capitated costs derived from the overall budget specified by the awardee. The cancer screening, diagnosis, and treatment facilitation services delivered to project enrollees will be reimbursed under the capitation payment system.
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