The Centers for Medicare and Medicaid Services (CMS) released regulations in November implementing rate increases for primary care physicians who treat Medicaid patients. The goal of the increase is to recruit more physicians to treat low-income patients who will be newly eligible for health coverage under the Affordable Care Act (ACA). Under the ACA, primary care physicians will see their reimbursement rates raised to Medicare levels in 2013 and 2014. The increase also applies to services provided by physicians to Medi-Cal managed care patients.
The California Medical Association (CMA) has prepared answers to the most commonly asked questions regarding the Medi-Cal primary care fee increases.