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)

41 organizations filed 51 public comments on 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), at the Centers for Medicare & Medicaid Services. The comment window closed 5160d ago.

Abstract

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.

Commenters (41)

• American Academy of Pediatrics (AAP)

  11 filings · confidence 97%
• American Health Care Association (AHCA/NCAL)trade assoc.

  1 filing · confidence 97%
• CA - California Association of Health Planstrade assoc.

  1 filing · confidence 85%
• CA - California Association of Public Hospitals and Health Systemstrade assoc.

  1 filing · confidence 85%
• CA - California Association Physician Groupstrade assoc.

  1 filing · confidence 85%
• CA--California Association of Neonatologiststrade assoc.

  1 filing · confidence 85%
• CA--Kaiser Foundation Health Plan Inc.trade assoc.

  1 filing · confidence 85%
• DC - American Thoracic Societytrade assoc.

  1 filing · confidence 85%
• DC - Amerigroup Corporationunverified attribution

  1 filing · confidence 70%
• DC - Blue Cross and Blue Shield Associationtrade assoc.

  1 filing · confidence 85%
• DC - Child Neurology Societytrade assoc.

  1 filing · confidence 85%
• DC - National Association of County and City Health Officialstrade assoc.

  1 filing · confidence 85%
• DC - National Association of Medicaid Directorstrade assoc.

  1 filing · confidence 85%
• DC--Alliance of Community Health Planstrade assoc.

  1 filing · confidence 85%
• DC--American Hospital Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Osteopathic Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Society of Pediatric Nephrologytrade assoc.

  1 filing · confidence 85%
• DC--Association for Community Affiliated Planstrade assoc.

  1 filing · confidence 85%
• DC--Association of American Medical Collegestrade assoc.

  1 filing · confidence 85%
• DC--National Association of Rural Health Clinicstrade assoc.

  1 filing · confidence 85%
• DC--National Patient Advocate Foundationtrade assoc.

  1 filing · confidence 85%
• DC--North American Society for Pediatric Gastroenterologytrade assoc.

  1 filing · confidence 85%
• DC--Planned Parenthood Federation of Americatrade assoc.

  1 filing · confidence 85%
• FL--American Association of Clinical Endocrinologiststrade assoc.

  1 filing · confidence 85%
• FL--Florida Association of Children's Hospitalstrade assoc.

  1 filing · confidence 85%
• IL--Illinois Hospital Associationtrade assoc.

  1 filing · confidence 85%
• IL--Joint Council of Allergytrade assoc.

  1 filing · confidence 85%
• MD - Association of Immunization Managerstrade assoc.

  1 filing · confidence 85%
• MO--Missouri Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NH--New Hampshire Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NJ - New Jersey Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NY - American Geriatrics Societytrade assoc.

  1 filing · confidence 85%
• OR--American Association of Orthopaedic Surgeonstrade assoc.

  1 filing · confidence 85%
• PA--Convenient Care Associationtrade assoc.

  1 filing · confidence 85%
• PA--Society of Hospital Medicinetrade assoc.

  1 filing · confidence 85%
• TX--Children's Hospital Association of Texastrade assoc.

  1 filing · confidence 85%
• TX--Texas Medical Associationtrade assoc.

  1 filing · confidence 85%
• VA - Association of State and Territorial Health Officialstrade assoc.

  1 filing · confidence 85%
• VA--Emergency Department Practice Managment Associationtrade assoc.

  1 filing · confidence 85%
• VA--HIV Medicine Associationtrade assoc.

  1 filing · confidence 85%
• WI--Wisconsin Hospital Associationtrade assoc.

  1 filing · confidence 85%