Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicaid Program; Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine Administration Under the Vaccines for Children Program
GAO-13-184R: Nov 19, 2012
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare & Medicaid Services' (CMS) new rule on Medicaid Program, payments for services furnished by certain primary care physicians and charges for vaccine administratrion under the Vaccines for Children Program. GAO found that (1) the final rule implements Medicaid payment for primary care services furnished by certain physicians in calendar years 2013 and 2014 at rates not less than the Medicare rates in effect in those calendar years or, if greater, the payment rates that would be applicable in those years using the calendar year 2009 Medicare physician fee schedule conversion factor; and (2) CMS complied with applicable requirements in promulgating the rule.