HPSA Incentive Payments for Physician Services Rendered in a

90.4.9 - HPSA Incentive Payments for Physician Services Rendered in a Critical Access Hospital (CAH) (Rev. 608, Issued: 07-22-05; Effective: 01-01-06; Implementation: 01-03-06) If a CAH electing the Optional Method (Method II) is located within a mental health HPSA, the psychiatrists providing (outpatient) professional services in the CAH are eligible for the Mental Health and Primary Care HPSA bonus payments. When billing for this service, the CAH must bill using Revenue code 961 plus the applicable HCPCS. This Mental Health HPSA bonus will be paid to the CAH on a quarterly basis by the FI. If an area is designated as both a mental health HPSA and a primary medical HPSA, only one 10% bonus will be paid for the service. Refer to §250.2 in the Claims Processing Manual, Chapter 4 for additional information.