Tools and Materials:Health Professional Shortage Area

Physicians who provide covered professional services in any rural or urban primary care Health Professional Shortage Area (HPSA) are entitled to a ten percent bonus payment. A HPSA is an urban or rural area designated as having a shortage of health care professionals. In addition, effective for claims with dates of service on or after July 1, 2004, psychiatrists (provider specialty 26) furnishing services in an area designated as a mental health HPSA are eligible to receive quarterly bonus payments. If an area is designated as both a primary care and mental health HPSA, only one (1) ten percent bonus payment will be made for a covered service.