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Medicaid Primary Care to be Reimbursed at Medicare Rates

Health & Medicine Policy Research Group (HMPRG)
November 5, 2012

"Health care law delivers higher payments to primary care physicians"

Health and Human Services (HHS) Secretary Kathleen Sebelius todayannounced the final rule implementing the part of the health care lawthat delivers higher payments to primary care physicians servingMedicaid beneficiaries. The new rule raises rates to ensure doctors arepaid the same for treating Medicare and Medicaid patients and does notraise costs for states.

“The health care law will help physicians serve millions of Americansacross the country,” Secretary Sebelius said. “By improving paymentsfor primary care services, we are helping Medicaid patients get the carethey need to stay healthy and treat small health problems before theybecome big ones.”

The final rule implements the Affordable Care Act’s requirement thatMedicaid pay physicians practicing in family medicine, general internalmedicine, pediatric medicine, and related subspecialists at Medicarelevels in Calendar Years 2013 and 2014.

This payment increase goes into effect in January of 2013.

Get more information about today’s final rule

View a copy of today’s final rule