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Attestation for Medi-Cal primary care rate increase to begin in July

The Centers for Medicare & Medicaid Services (CMS) released regulations in early November 2012 implementing rate increases for primary care physicians who treat Medicaid patients. The goal of the increase is to recruit more physicians to treat low-income patients who will be newly eligible for health coverage under the Affordable Care Act (ACA). Under the ACA, primary care physicians will see their reimbursement rates raised to Medicare levels in 2013 and 2014. According to CMS, states must also incorporate the increased payment rates into their contracts with managed care ...

ACA: Medicaid Primary Care Rate Increase FAQ

Under the provisions of the Federal Affordable Care Act (ACA), state Medicaid programs (Medi-Cal in California) are required to pay primary care physicians at Medicare rates for primary care services for two years. The increase is fully funded by the federal government. The requirement began January 1, 2013 and ends December 31, 2014. The California Department of Health Care Services (DHCS) submitted their state plan amendment (SPA) to implement the rate increase on March 29, 2013. Approval of the SPA is required by the Centers for Medicare and Medicaid Services ...

Inland Empire Provider Positioning for Growth in Reform

Monday, March 11, 2013 Inland Empire Provider Positioning for Growth in Reform by Lauren McSherry, California Healthline Regional Correspondent SAN BERNARDINO -- Marking yet another step in the steady expansion of its reach in the Inland Empire, Loma Linda University Health is planning to construct a medical and educational complex in San Bernardino that could serve up to 250,000 patients each year. Experts said the expansion is likely part of the health system's strategy to better position itself for changes to health care reimbursement and hospital patient volume expected as a ...