Renewing Higher Payments for Primary Care Doctors Serving Medicaid Patients.
This law reinstates and expands higher payment rates for primary care providers treating patients under the Medicaid program. The goal is to incentivize more specialists, including OB/GYNs, to accept Medicaid, making it easier for families to access routine and preventative care. The changes also aim to steer patients away from using expensive hospital emergency rooms for basic health needs.
Key points
Medicaid payments for primary care services must match or exceed Medicare rates, encouraging broader provider participation and improving access.
The list of eligible providers receiving higher rates is expanded to include obstetricians, gynecologists, nurse practitioners, and physician assistants.
The enhanced payment rates will not apply to primary care services delivered in hospital emergency departments.
Managed care organizations must comply with these higher minimum payment rates for primary care providers.
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