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Unified Agenda 0938-AQ63

Payments for Primary Care Services Under the Medicaid Program (CMS-2370-P)


This proposed rule would implement section 1202 of the Affordable Care Act that requires payment by State Medicaid agencies of at least the Medicare rates in effect in calendar years (CYs) 2013 and 2014 for primary care services delivered by a physician with a specialty designation of family medicine, general internal medicine, or pediatric medicine. This rule would implement the statutory payment provisions uniformly across all States. Specifically, this proposed rule would define, for purposes of enhanced Federal match, eligible primary care providers and identify eligible primary care services, as well as specify how the enhanced payment should be calculated. This proposed rule would also provide general guidelines for implementing the enhanced payment for managed care services.


1 action from January 2012

  • January 2012
    • NPRM


  • Mary Cieslicki
    Health Insurance Specialist
    Phone 410 786-4576
    Mail Stop S3-14-28, 7500 Security Boulevard,
    Baltimore MD 21244

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