Medicaid Primary Care Rate Increase (PCRI)
Medicaid Managed Care and Family Health Plus
PCRI Schedule of Reconciliation and Payments Dates
The Schedule is also available in portable document format (PDF, 1MB, 1pg.)
| Quarter | Calendar Year | End of Quarter | Encounter "Run Out" Period for Plans |
Reconciliation and Certification due to Department |
Tentative | |||
|---|---|---|---|---|---|---|---|---|
| 1 DOH Review of Reconciliation and Transmission of Payment Request to DOH Fiscal Manangement Group(FMG) |
2 Payments to Plans based on Medicaid Claim Cycle |
Plan Payment to Providers | ||||||
| January through March | 2013 | 03/31/13 | 09/25/13 | 02/14/14 | 03/31/14 | 05/30/14 | 06/30/14 | |
| April through June | 2013 | 06/30/13 | 09/25/13 | 02/14/14 | 03/31/14 | 05/30/14 | 06/30/14 | |
| July through September | 2013 | 09/30/13 | 10/31/13 | 03/31/14 | 04/30/14 | 05/30/14 | 06/30/14 | |
| October through December | 2013 | 12/31/13 | 01/31/14 | 04/30/14 | 05/30/14 | 06/30/14 | 07/31/14 | |
| January through March | 2014 | 03/31/14 | 04/30/14 | 06/02/14 | 07/31/14 | 09/02/14 | 10/31/14 | |
| April through June | 2014 | 06/30/14 | 07/31/14 | 09/02/14 | 10/31/14 | 12/01/14 | 02/02/15 | |
| July through September | 2014 | 09/30/14 | 10/31/14 | 12/01/14 | 02/02/15 | 03/31/15 | 04/30/15 | |
| October through December | 2014 | 12/31/14 | 01/31/15 | 03/02/15 | 04/30/15 | 06/01/15 | 07/31/15 | |
1Transmission could be delayed if reconciliation requires resubmission from plan post DOH review
2Approximate date based on normal Medicaid Claim Cycle processing lag
3MCOs may report prior period PCRI "lump sum" requests in future reconciliation. A final cutoff date will be determined for each period.
