The Medicaid Fee-for-Service Provider Payment Process

In fiscal year 2016, 51 percent of total Medicaid benefit spending was attributable to fee-for-service programs. This fact sheet provides an overview of Medicaid fee-for-service provider payment, including the typical claims submission and payment process, as well as additional non-claims-based payment processes. It also briefly describes post-payment review processes and the use of payment data for administrative purposes, and notes selected payment issues under managed care.