Primary Care Medicaid Providers Eligible for Rate Increase

The Medicaid program under the Affordable Care Act is federally required to pay at the Medicare rate for certain primary care services and to reimburse 100 percent Medicare Cost Share for services paid in calendar years 2013 and 2014.

Physicians with a primary specialty designation of family medicine, general internal medicine or pediatric medicine are primary care providers. Those who render evaluation and management codes and services related to immunization administration for vaccines and toxoids for specified codes would be eligible for reimbursement.

Primary care providers can attest for the enhanced Medicaid payment rates on the DMA website, here. Look at the bottom of the page where it says, “PROVIDERS NEED TO CLICK HERE TO SELF ATTEST.”


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