dockets: CMS-2012-0061

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id agency_id title docket_type last_modified object_id rin dkabstract category subtype keywords program short_title effective_date organization attrs_raw attr_source
CMS-2012-0061 CMS Medicaid Program; Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine Administration Under the Vaccines for Children Program (CMS-2370-P) Rulemaking 2021-04-21T01:00:37Z 0b0000648100a020 0938-AQ63 This proposed rule would implement new requirements in sections 1902(a)(13), 1902(jj), 1932(f), and 1905(dd) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act of 2010 (the Affordable Care Act). It implements Medicaid payment for primary care services furnished by certain physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs or, if greater, the payment rates that would be applicable in those CYs using the CY 2009 Medicare physician fee schedule conversion factor (CF). This minimum payment level applies to specified primary care services furnished by a physician with a specialty designation of family medicine, general internal medicine, or pediatric medicine, and also applies to services paid through Medicaid managed care plans. It would also provide for a 100 percent Federal matching rate for any increase in payment above the amounts that would be due for these services under the provisions of the State plan as of July 1, 2009. In this proposed rule, we specify which services and types of physicians qualify for the minimum payment level in CYs 2013 and 2014, and the method for calculating the payment amount and any increase for which increased Federal funding is due. In addition, this proposed rule would update the interim regional maximum fees that providers may charge for the administration of pediatric vaccines to federally vaccine-eligible children under the Pediatric Immunization Distribution Program, more commonly known as the Vaccines for Children (VFC) program.               {"displayProperties": [], "keywords": null, "modifyDate": "2021-04-21T01:00:37Z", "dkAbstract": "This proposed rule would implement new requirements in sections\r\n1902(a)(13), 1902(jj), 1932(f), and 1905(dd) of the Social Security Act, as amended by\r\nthe Patient Protection and Affordable Care Act of 2010 (the Affordable Care Act). It\r\nimplements Medicaid payment for primary care services furnished by certain physicians\r\nin calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect\r\nin those CYs or, if greater, the payment rates that would be applicable in those CYs using\r\nthe CY 2009 Medicare physician fee schedule conversion factor (CF). This minimum\r\npayment level applies to specified primary care services furnished by a physician with a\r\nspecialty designation of family medicine, general internal medicine, or pediatric\r\nmedicine, and also applies to services paid through Medicaid managed care plans. It\r\nwould also provide for a 100 percent Federal matching rate for any increase in payment\r\nabove the amounts that would be due for these services under the provisions of the State\r\nplan as of July 1, 2009. In this proposed rule, we specify which services and types of\r\nphysicians qualify for the minimum payment level in CYs 2013 and 2014, and the\r\nmethod for calculating the payment amount and any increase for which increased Federal funding is due.\r\nIn addition, this proposed rule would update the interim regional maximum fees\r\nthat providers may charge for the administration of pediatric vaccines to federally\r\nvaccine-eligible children under the Pediatric Immunization Distribution Program, more\r\ncommonly known as the Vaccines for Children (VFC) program.", "agencyId": "CMS", "program": null, "shortTitle": null, "subType2": null, "title": "Medicaid Program; Payments for Services Furnished by Certain Primary Care\r\nPhysicians and Charges for Vaccine Administration Under the Vaccines for Children\r\nProgram (CMS-2370-P)", "generic": null, "field1": null, "docketType": "Rulemaking", "petitionNbr": null, "rin": "0938-AQ63", "organization": null, "legacyId": null, "subType": null, "category": null, "field2": null, "effectiveDate": null, "objectId": "0b0000648100a020"} single_get

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