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Primary Care Rate Increases Begin

The Affordable Care Act requires that states increase their reimbursement rates for primary care providers to Medicare levels. In California, this should approximately double the reimbursement rates for primary care. It applies to both fee-for-service and managed care services and payments for codes E&M 99201-99499 and Vaccine Administration 94060-1 and 90471-4.
 
CMS has approved California’s proposed implementation, and the first payments are due to go out this week. Reimbursements must be retroactive to January 1, 2013. A 100% federal match is available through the end of 2014.
 
See California Department of Health Care Services, ACA Increases Medicaid Payment for Primary care Physicians at http://files.medi-cal.ca.gov/pubsdoco/aca/aca_form_landing.asp and CMA Alert #2270 (November 4, 2013)

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