Thank you for the link! I read most all that applies but still am wondering how come there was such a reduction in payment from state medicaid. I received a new medicare r/a today and it seems to be back to the previous payment amounts. So, I am wondering if the one prior was just in error since the conversion and if it is an error do I need to refund state medicaid and then resubmit and hope it pays correctly this time around??? Not sure what to do from here??? Thanks