Primary care physicians providing Medicaid services to receive 100-percent of Medicare reimbursement rate

After the the Department of Vermont Health Access (DVHA) amended its Medicaid State Plan reimbursement methodologies for its Resource-Based Relative Value Scale (RBRVS) payments, primary care physicians will now receive 100% of Medicare beginning August 1. 

Specifically, the DVHA primary care conversion factor (CF) increased from $32.58 to $35.89, equal to 100% of Medicare’s current CY 2017 CF. The total net increase in spending on eligible primary care providers is estimated to be approximately $1.6 million.

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