CMS proposes increased Medicaid payment to primary care

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a CMS proposed rule affecting Medicaid reimbursement for primary care services, with a focus on temporary payment adjustments tied to Medicare physician fee schedule rates in 2013 and 2014. It is relevant to primary care physicians, billing and coding staff, Medicaid practices, and anyone tracking federal payment policy changes. The article covers the general scope of impacted services, the specialties involved, and CMS’s stated intent to evaluate the payment change over time.

Why This Topic Matters

The proposed payment change could affect Medicaid revenue for primary care practices and may influence access, participation, and planning for providers serving Medicaid patients.

What You Will Learn

  • The overall policy change CMS proposed for Medicaid primary care payment
  • Which broad categories of primary care services are affected
  • Which physician specialties are included in the proposal
  • Why the change may matter for Medicaid patient access and provider participation
  • That CMS described the measure as temporary and subject to evaluation

Who Should Read This

  • Medical coders
  • Billing staff
  • Primary care physicians
  • Practice administrators
  • Medicaid providers
  • Healthcare policy professionals

Codes Discussed

Code Ranges Discussed


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