Centers for Medicare and Medicaid Services Finalizes Rules for Increasing Medicaid Reimbursement Rates for Primary Care Physicians

The Affordable Care Act (ACA) reconciled low reimbursement rates in the Medicaid program by providing temporary rate increases to encourage more doctor participation in the Medicaid program. The rule implementing this provision will be published this week. It provides that states reimburse certain primary care physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs. It provides 100 percent federal matching funds for the difference in payment between the applicable Medicare payment in those years and the Medicaid rate in effect as of July 1, 2009.

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