Implementation Manager (IM) Specialist CHTS Practice Test

What percentage of eligible payments do providers receive during the first year according to Medicaid rules?

1. 50%

2. 33%

3. 75%

4. 100%

The correct answer is: 33%

The percentage of eligible payments providers receive during the first year according to Medicaid rules is established to facilitate smoother transitions into the program and to encourage provider participation. This percentage is set at 33%, as it allows for stability while ensuring that providers engage with Medicaid beneficiaries without facing overwhelming financial burdens during their initial year of participation. The lower percentage serves to balance the need for incentive with the financial realities of Medicaid funding, which is often constrained. By receiving 33% in the first year, providers are afforded an opportunity to assess the program's demands and adjust their practices accordingly, while still receiving a significant portion of the payments they are eligible for. In subsequent years, payment percentages typically increase as providers gain experience and engage more fully with the Medicaid system, but the first year's specific percentage is crucial for onboarding providers into the program effectively.