Medicare/CMSLow ImpactReimbursement
2026-02-19 - Historically Excepted Tribal Federally Qualified Health Centers: CY 2026 Payment Rate
Published February 19, 2026Effective January 1, 2026
AI 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.
Plan Types
Traditional Medicare
Specialties
family-medicine, internal-medicine, general-practice, pediatrics