Professionals Not Eligible to Participate

20.1.2 – Professionals Not Eligible to Participate (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) Providers and professionals not defined as eligible professionals are not eligible to participate in the eRx Incentive Program do not qualify for an incentive, and are not subject to a payment adjustment. Services payable under or based on fee schedules or methodologies other than the PFS are not included in the eRx Incentive Program (for example, services provided in federally qualified health centers, independent diagnostic testing facilities, portable x-ray suppliers, independent laboratories, hospitals [including critical access], rural health clinics, ambulance providers, and ambulatory surgery center facilities). In addition, suppliers of durable medical equipment (DME) are not eligible for the eRx Incentive Program since DME is not based on or paid under the PFS.