MedicaidReimbursementHigh impact
PPACA Medical Primary Care and Vaccine Administration Rate Increase
Georgia Medicaid·GA · Family Medicine, Internal Medicine, Pediatrics·Pharmacy
Effective date
Jan 1, 2013
We identified it
Jun 20, 2026
Summary
Georgia Medicaid will increase reimbursement rates for primary care services (E&M codes 99201-99499) and vaccine administration to 100% of Medicare rates, effective January 1, 2013 through December 31, 2014. Implementation will be delayed until Spring 2013 pending federal approval, with retroactive payments back to January 1, 2013.
Action Required
By March 31, 2013: Eligible primary care providers must self-attest to DCH to receive the rate increase. Monitor DCH website and GAMMIS portal for updates on the attestation process and final fee schedules. Ensure billing system is ready to process retroactive payments for E&M and vaccine administration codes once implementation begins in Spring 2013.