Interim Rate Changes from CMS

Critical Access Hospitals, Children's Hospitals, Rural Health Clinics, and Federally Qualified Health Centers should use the following process to notify Medica whenever the Centers for Medicare and Medicaid Services (CMS) Fiscal Intermediary (FI) updates interim reimbursement rates for the hospital or clinic.

How to submit an update

When any of the above providers receive an increase or decrease in interim rates, the provider should complete the applicable sections of the Medica Notice of Fiscal Intermediary Rate Change form.
Note: Forms with missing information will be returned to providers for completion.
Providers should e-mail or fax the form, along with the provider's FI rate letter, to Medica as indicated on the form.

Effective dates of new rates will be assigned prospectively on the 1st or 15th of the month based upon receipt of the notification at Medica. Medica does not use the effective date listed on the FI rate letter. Providers should allow up to 30 days for processing the update.

Questions?

Rural Health Clinics and Federally Qualified Health Centers FAQ (PDF)

If providers have questions about the above information, please contact the Medica Provider Service Center at 1 (800) 458-5512.

REV 2/2023