Traditional MedicareReimbursementLow impact
2026-02-19 - Historically Excepted Tribal Federally Qualified Health Centers: CY 2026 Payment Rate
Medicare/CMS·Family Medicine, Internal Medicine, General Practice +1 more·Payment
Effective date
Jan 1, 2026
We identified it
Feb 19, 2026
Summary
The 2026 payment rate for historically excepted tribal Federally Qualified Health Centers has been set at $733 for medically necessary face-to-face visits. CMS will automatically adjust any claims previously paid at the 2025 rate, requiring no action from billing teams.
Action Required
No action required. CMS will automatically adjust any 2026 claims that were previously paid at the 2025 rate to the new $733 rate for historically excepted tribal FQHC visits.