The Medicaid Primary Care Fee Uplift

Although the implementation of the Medicaid Primary Care Fee Uplift was delayed for several months, the funding has been distributed to the Michigan Medicaid health plans, and all eligible providers who have attested should have received enhanced payments (at 100 percent of Medicare rates) retroactive to January 1, 2013.

Congress failed to extend Federal funding for the policy beyond December 31, 2014; however, Michigan was one of the few states to appropriate state funding for the program. Eligible physicians can now receive a partial fee uplift (approximately 78 percent of Medicare rates) for qualified services performed on or after January 1, 2015.

To receive the fee uplift in Michigan, eligible physicians can self-attest by designating their primary care specialty in their Community Health Automated Medicaid Process System (CHAMPS) enrollment file. The Michigan Department of Community Health will validate the provider’s Board certification information provided prior to any enhanced payment.

If you have any questions regarding payments or the policy, please call MAFP Director of Government Affairs, Christin Nohner, at cnohner@mafp.com or 517.664.9082.

Additional Resources