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LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Who is a fiscal agent?


A fiscal agent is a private contractor to the state, normally selected through a competitive procurement process, may operate the state's MMIS (Medicaid Management Information System). A state MMIS fiscal agent contract status report is prepared quarterly from CMS central office following the input from regional offices. The report is usually prepared within 30 days after the close of a quarter and infrequently when there is a demand due to several state contractor revisions. The report data includes the name of the state fiscal agent contractor, the contract term with option extension period, and regional office contact person with phone and fax number.


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