Medicare makes bonus payments to physicians who provide medical care services in geographic areas that are HRSA-designated as primary medical care Health Professional Shortage Areas (HPSAs) and to psychiatrists who provide services in HRSA-designated mental health HPSAs.
Effective for claims with dates of service on or after January 1, 2009, only services furnished in areas that are designated as geographic HPSAs as of December 31 of the prior year are eligible for the HPSA bonus payment.
Services furnished in areas that are designated at any time during the current year will not be eligible for the HPSA bonus payment until the following year, provided they are still designated on December 31.
See http://www.cms.hhs.gov/mlnmattersarticles/downloads/MM6106.pdf. This is MLN Matters Article #MM6106, CMS Change Request #6106.
Only the Centers for Medicare and Medicaid Services can provide more information on the physician bonus. For more information:
There are some upcoming changes to the list of areas eligible for the medicare bonus payments. Please go to this site for further information: (https://www.cms.gov/hpsapsaphysicianbonuses/)
July 1, 2015 Federal Register Notice
NOTE: Below are lists of designated HPSAs that reflect the publication of the Federal Register notice on July 1, 2015. This Federal Register
notice reflects the status of HPSAs as of May 29, 2015. The main impact of this Federal Register publication will be to officially withdraw
those HPSAs that have been in "proposed for withdrawal" status since the last Federal Register notice was published on June 25, 2014. HPSAs that have
been placed in “proposed for withdrawal” status since May 29, 2015, will remain in that status until the publication of the next Federal Register notice.
If there are any questions about the status of a particular HPSA or area, we recommend that you contact the state primary care office in your state; a
listing can be obtained at http://bhpr.hrsa.gov/shortage/hpsas/primarycareoffices.html.