Medicaid PCP Rate Increase and VFC Changes Information for Providers March 11, 2013. Overview. Affordable Care Act (ACA) primary care fee increase MD implementation vs. other states – policy differences Eligible services Eligible and ineligible providers MCO Responsibilities
The following services are eligible for the increased rate:
While Maryland Medicaid and MCOs will pay most providers billing eligible codes at the increased rate, Maryland can only claim federal matching dollars for physicians who meet the following criteria:
*As recognized by American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA) or American Board of Physician Specialties (ABPS)
Maryland only receives enhanced federal funds for eligible providers who self-attest that they meet the conditions on the previous slide.
If you would like to know more about the primary care fee
increase, here are a few additional resources:
Go to www.mmcp.dhmh.maryland.gov/sitepages/pcpfeeincrease.aspxfor: