Medicaid Physician Pay Boost Stalled

A temporary Medicaid physician pay boost that was to go into effect January 1, 2013 has been stalled. The increase in Medicaid primary-care rates is to provide some financial incentive for physicians to take on additional or first-time Medicaid patients. Final federal rules were issued in November and since that time provider advocates have been urging states to complete the process by submitting plan amendments to the Center for Medicare and Medicaid Services (CMS) for approval. The states have until the end of March to comply.

CMS has acknowledged that a number of states have submitted the required plan amendments but has not indicated whether or not they have been approved. CMS has 90 days to approve the plans and the pay increases would be retroactive to January 1.

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