CMS Approves Primary Care Medicaid Payment Increase

Earlier this month, CMS formally approved the State Plan Amendment for paying Medicaid primary care providers at parity with 2018 Medicare rates for Evaluation & Management codes. During a recent Medical Care Advisory Committee, DHHS stated that the rate increase would go into effect in the coming weeks. The Academy is working to gather additional information on the exact timing of the payment increase (retroactive to January 1st, 2019) and will notify members when that information is available. The Academy and the NC Pediatric Society had long advocated for this Medicaid rate increase on behalf of our members.