MedicaidReimbursementHigh impact
Enhanced Payments for Eligible Primary Care Services Scheduled to End December 31, 2014
Illinois Medicaid - HFS·IL · Family Medicine, General Practice, Internal Medicine +1 more·Provider Notice
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
Enhanced Medicaid reimbursement rates for primary care services that matched Medicare fee schedules will end December 31, 2014. Starting January 1, 2015, Medicaid will revert to lower standard reimbursement rates for primary care services due to lack of continued federal funding.
Action Required
By December 31, 2014: Billing team must update fee schedules in billing system to reflect lower Medicaid reimbursement rates for primary care services effective January 1, 2015. Update financial projections and patient estimates for Medicaid primary care visits. Monitor for potential Congressional action that could restore enhanced rates.