R11942CP

Transmittal #
R11942CP
Issue Date
2023-07-03
Subject

Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2023

Implementation Date
2023-07-03
CR #
13174
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2023-04-20
Publication #
100-04
Transmittal Year
2023

MLN Connects® Newsletter Message

Grandfathered Tribal Federally Qualified Health Centers: CY 2023 Rate

The CY 2023 grandfathered tribal Federally Qualified Health Center Prospective Payment System rate is $620.00 for medically necessary face-to-face visits.

CMS will adjust CY 2023 claims paid at the CY 2022 rate starting July 1. You don’t need to take any action.

See the instruction to your Medicare Administrative Contractor (PDF).

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