Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 90.5.2
Identifying Physician Scarcity Area Locations
90.5.2 - Identifying Physician Scarcity Area Locations
(Rev. 1434; Issued: 02-05-08; Effective: 01-01-08; Implementation: 01-07-08)
The CMS shall provide to the standard systems and A/B MACs (B) file of zip codes for
the automated payment of the primary care and specialty physician scarcity bonus. The
file will be effective for claims with dates of service on or after January 1, 2005, through
December 31, 2007. A/B MACs (B) and shared systems will be notified by e-mail of the
name of the file and when it will be available for downloading.
The Medicare, Medicaid, and State Children’s Health Insurance Program (SCHIP)
Extension Act of 2007 amended §1833(u)(1) of the Social Security Act and has extended
payment of the Physician Scarcity Area bonus through June 30, 2008, using the same file
used for prior years.