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Department of Social Services sets Sept. 1 launch for maternity case-rate bundle, outlines attribution rules
Summary
DSS told providers it plans to launch a maternity case-rate payment bundle on Sept. 1, 2024, described how case rates will be triggered, clarified that case rates cover professional fees (not facility charges), and explained the 30-birth threshold for 'accountable' providers.
The Department of Social Services (DSS) told participating providers on a stakeholder call that it plans to launch a maternity case-rate payment program on Sept. 1, 2024, and described how case-rate payments will be triggered, attributed and reconciled.
Brad Richards, chief medical officer and medical director at the Department of Social Services, said the program is “gearing up” for a Sept. 1 launch and that DSS will post materials and recordings on its website. Charles (Mercer), the actuary on the call, said the case-rate document distributed to providers is draft and that DSS will re-create case rates in June using a more recent claims dataset to avoid unusual pandemic-era patterns.
Why this matters: the new payment method shifts payment for maternity professional services from per-visit…
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