Have You Received Your Medicaid Primary Care Rate Increase?
If you are a Board Certified Specialist or Subspecialist of General Internal Medicine; or have a 60 percent paid claims history of both E&M codes and vaccine administration codes, you may be eligible to receive increased Medicaid reimbursement rates for primary care services furnished in calendar years 2013 and 2014.
Beginning in September 2013, eMedNY will reprocess Medicaid claims for dates of service on and after January 1, 2013, at an increased rate to providers who submitted complete attestations by August 1, 2013.
For attestations received after August 1, 2013, the increased rate will be paid effective the date the attestation is received.
Further information on Medicaid managed care implementation will be forthcoming.
Access Additional resources
- NYS DOH PCRI Information Page
- PCRI Attestation form and Frequently Asked Questions (including eligibility requirements)
- Physician PCRI fee schedules https://www.emedny.org/ProviderManuals/Physician/index.aspx