Some Medicaid doctors to receive reimbursement rates that equal Medicare's

Share this article:

Physicians providing primary care services to Medicaid beneficiaries will see a federal payment increase to bring Medicaid payments in line with those of Medicare payments, government officials announced Wednesday.

The proposed rule from the Centers for Medicare & Medicaid Services would be applied to calendar years 2013 and 2014, as mandated by the Affordable Care Act. Under the regulation, Medicaid will reimburse family medicine, general internal medicine, pediatric medicine and related subspecialists at Medicare levels.

The increase will be paid solely by the federal government without matching payments paid by the states, said Cindy Mann, deputy administrator of CMS and director of the Center for Medicaid and CHIP Services, during a conference call on Wednesday. Additionally, the proposed rule gives states $11 billion in new funds to bolster their Medicaid primary care delivery systems, which are expected to be besieged by many more beneficiaries soon, she said.

The regulation is part of CMS' ongoing goal of improving access to primary care and preventive health services — efforts that can help keep older adults in their homes and communities and out of nursing homes.

Click here to read the proposed rule, which will be published in the Federal Register on May 11.

Share this article:

More in News

Antipsychotics reduction goal raised to 30% by end of 2016, CMS and provider groups announce

Antipsychotics reduction goal raised to 30% by end ...

Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016. Providers ...

CDC issues new guidelines on pneumococcal vaccine, says LTC flu vaccination rates remain low

CDC issues new guidelines on pneumococcal vaccine, says ...

Long-term care workers continued to have low rates of flu vaccination last season, despite there being 92% vaccination coverage overall among physicians and nurses, the Centers for Disease Control and ...

AL operators accused of withholding $2M in unpaid overtime, minimum wages ...

Four California assisted living operators are facing eight felony charges related to wage theft, tax and insurance violations, according to local reports.