Medicaid Program; Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine Administration Under the Vaccines for Children Program (CMS-2370-P)

 
Docket ID: CMS-2012-0061
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
Summary:
This rule implements Medicaid payment for primary care services furnished by certain physicians in calendar years 2013 and 2014. The rule specifies which services and types of physicians qualify for the minimum payment level, the method for calculating the payment amount, and any increase for which increased Federal funding is due. In addition, this rule updates the interim regional maximum fees that providers may charge for the administration of pediatric vaccines to federally vaccine-eligible children under the Pediatric Immunization Distribution Program, more commonly known as the Vaccines for Children (VFC) program.
RIN: 0938-AQ63
Impacts and Effects: None
CFR Citation: 42 CFR 447,42 CFR 441,42 CFR 438
Priority: Economically Significant

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      undefined
      • Please review this document.

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        CMS-2012-0061-0148
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        06/13/2012

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        06/13/2012

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      • First submission had an error. Please use this letter. Thanks.

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        06/13/2012

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        CMS-2012-0061-0144
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      undefined
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        06/13/2012

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        06/13/2012

      • ID:
        CMS-2012-0061-0141
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      • I support a bill that will increase payments to pediatricians. We have suffered a 10-15% cut from AHCCCS plan payments over the last couple of years and need help to keep afloat...

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        06/13/2012

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        CMS-2012-0061-0140
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      undefined
      • On behalf of the American Geriatrics Society, please accept the attached comments regarding Medicaid payments for primary care services. Please don't hesitate to contact Alanna...

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        06/13/2012

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        CMS-2012-0061-0139
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        06/13/2012

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        CMS-2012-0061-0138
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      • Please find our comments attached. Thank you. If you have any questions please contact Caitlin at Caitlin.Kuennen-Bre@state.nm.us

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        06/13/2012

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        CMS-2012-0061-0137
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        06/13/2012

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      • Please see attached PDF

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        06/13/2012

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      • Attached, please find comments from the American Academy of Pediatrics in response to CMS–2370–P; Medicaid Program; Payments for Services Furnished by Certain Primary Care...

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        06/13/2012

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        CMS-2012-0061-0132
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        06/13/2012

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        CMS-2012-0061-0131
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      undefined
      • Comments of the Louisiana Bureau of Health Services Financing (BHSF) which is Louisiana's single state Medicaid agency are contained in the attached Word document.

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        06/13/2012

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        CMS-2012-0061-0130
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        06/13/2012

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        CMS-2012-0061-0129
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      undefined
      • Dear Ms. Tavenner: The Washington Chapter of the AAP, as an advocate for child health, appreciates the opportunity to comment on the above-referenced proposed rule issued by the...

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        06/13/2012

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      • Please see attached.

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      • To Whom It May Concern: Attached is a revised version of the the American Academy of Actuaries' Medicaid Work Group comment letter on proposed rule 2370-P which was originally...

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        06/13/2012

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        06/13/2012

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        CMS-2012-0061-0122
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      • Please see attached comments

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        06/13/2012

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      • see attached

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        06/13/2012

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        06/13/2012

      • ID:
        CMS-2012-0061-0119
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      undefined
      • Thank you for your efforts on behalf of beneficiaries.

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        06/13/2012

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        CMS-2012-0061-0118
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        06/13/2012

      • ID:
        CMS-2012-0061-0117
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      undefined
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        06/13/2012

      • ID:
        CMS-2012-0061-0116
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      undefined
      • Thank you for your ongoing efforts to address the needs of Medicare and Medicaid beneficiaries.

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        06/13/2012

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        CMS-2012-0061-0115
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      undefined
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        06/13/2012

      • ID:
        CMS-2012-0061-0114
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      undefined
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        06/13/2012

      • ID:
        CMS-2012-0061-0113
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      undefined
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        06/13/2012

      • ID:
        CMS-2012-0061-0112
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      undefined
      • See attached file(s) Thank you.

      • Public Submission
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        06/13/2012

      • ID:
        CMS-2012-0061-0111
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      undefined
      • See attached file(s)

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        06/13/2012

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        CMS-2012-0061-0110
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      undefined
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        06/13/2012

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        CMS-2012-0061-0109
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        06/13/2012

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        CMS-2012-0061-0108
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      undefined
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        06/13/2012

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        CMS-2012-0061-0107
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      undefined
      • Attached please find comments on behalf of the nation's Medicaid Directors.

      • Public Submission
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        06/13/2012

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        CMS-2012-0061-0106
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      undefined
      • I am submitting the attached comments on behalf of the HIV Health Care Access Working Group. Please feel free to contact me with questions. Andrea Weddle aweddle@hivm.aorg

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        06/13/2012

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        CMS-2012-0061-0105
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      undefined
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        06/13/2012

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        CMS-2012-0061-0104
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      • See attached file(s) I am submitting the attached comments on behalf of Dr. Judy Aberg, HIV Medicine Association Chair. Please feel free to contact me with any questions. Andrea...

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        06/13/2012

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        CMS-2012-0061-0103
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      • I behalf of the Association of American Medical Colleges, I am pleased to submit the attached letter.

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        06/13/2012

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        CMS-2012-0061-0102
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      • The Indiana Chapter of the American Academy of Pediatrics is submitting this letter as support for CMS_2370. The letter is from our president, Carolyn Lytle, MD, MPH.

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        06/13/2012

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        06/13/2012

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      • Attached please find comments from the PA Department of Public Welfare's Office of Medical Assistance Programs regarding CMS-2370-P. Thank you

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        06/13/2012

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        CMS-2012-0061-0099
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      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/13/2012

      • ID:
        CMS-2012-0061-0097
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/13/2012

      • ID:
        CMS-2012-0061-0096
      • Organization:
      • Submitter Name:
      undefined
      • Attached, are comments submitted by the National Association of Rural Health Clinics. Your consideration of these comments is greatly appreciated. Please do not hesitate to...

      • Public Submission
      • Posted:

        06/13/2012

      • ID:
        CMS-2012-0061-0095
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0094
      • Organization:
      • Submitter Name:
      undefined
      • CAPH's comments on the proposed regulation are in the uploaded file.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0093
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0092
      • Organization:
      • Submitter Name:
      undefined
      • See attached

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0091
      • Organization:
      • Submitter Name:
      undefined
      • comments attached

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0090
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0089
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0088
      • Organization:
      • Submitter Name:
      undefined
      • Attached please find comments written by the American Academy of Pediatrics in response to CMS–2370–P; Medicaid Program; Payments for Services Furnished by Certain Primary Care...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0087
      • Organization:
      • Submitter Name:
      undefined
      • Attached please find the comment letter from WellCare Health Plans, Inc. for CMS-2370-P.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0086
      • Organization:
      • Submitter Name:
      undefined
      • Comments of the Connecticut Department of Social Services. See attached letter.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0085
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0084
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0083
      • Organization:
      • Submitter Name:
      undefined
      • Attached please find the comments of Cleveland Clinic.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0082
      • Organization:
      • Submitter Name:
      undefined
      • The Alliance of Community Health Plans (ACHP) appreciates the opportunity to submit comments on the proposed rule implementing ACA provisions for Medicaid payments for primary care...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0081
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0080
      • Organization:
      • Submitter Name:
      undefined
      • Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine Administration Under the Vaccines for Children Program (CMS-2370-P) Kaiser Permanente...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0079
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s) per CMS-2370-P

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0078
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0077
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0076
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0075
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0074
      • Organization:
      • Submitter Name:
      undefined
      • See attached file

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0073
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0072
      • Organization:
      • Submitter Name:
      undefined
      • The Texas Health and Human Services Commission (HHSC) appreciates the opportunity to comment on the proposed regulation for the payments for services furnished by certain primary...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0071
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0070
      • Organization:
      • Submitter Name:
      undefined
      • Please accept the attached comments on this proposed rule submitted by the national societies representing Allergists. Thank you for your consideration of these comments.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0069
      • Organization:
      • Submitter Name:
      undefined
      • The American College of Physicians' comment on CMS 2370-P is attached

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0068
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0067
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0066
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0065
      • Organization:
      • Submitter Name:
      undefined
      • Please see the attached letter.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0064
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0063
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0062
      • Organization:
      • Submitter Name:
      undefined
      • Please see attached comments.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0061
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0060
      • Organization:
      • Submitter Name:
      • Section: II.A.2.a & b. – Use of Fee Schedule Amount applicable to geographic location of service This proposed rule provides coverage for procedure codes reimbursed by Medicare at...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0059
      • Organization:
      • Submitter Name:
      • Gateway Health Plan® appreciates the opportunity to provide comments to the notice of proposed rulemaking concerning the Medicaid Program; Payments for Services Furnished by...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0058
      • Organization:
      • Submitter Name:
      undefined
      • We appreciate the opportunity to provide comments on the proposed rule. Please find our comments in the attached document. (Hard copy will follow.)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0057
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0056
      • Organization:
      • Submitter Name:
      undefined
      • Please see the attached letter in reference to the CMS proposed rule Medicaid Program; Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0055
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0054
      • Organization:
      • Submitter Name:
      • Section: II. A. 1. c – Provisions of the Proposed Regulation – Eligible Primary Care Services This proposed rule provides the procedure code ranges eligible for the higher...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0053
      • Organization:
      • Submitter Name:
      • Section: II. A. 1. a – Provisions of the Proposed Regulation – Payment to Physicians for Primary Care Services – Specified Specialties and Subspecialties This proposed rule...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0052
      • Organization:
      • Submitter Name:
      • As a subspecialist in pediatric cardiology, I would like to support the CMS proposal to include pediatric subspecialists as qualified to receive the increase in Medicaid rates to...

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0051
      • Organization:
      • Submitter Name:
      undefined
      • See attached file(s)

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0050
      • Organization:
      • Submitter Name:
      undefined
      • Please find attached comments from the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition.

      • Public Submission
      • Posted:

        06/12/2012

      • ID:
        CMS-2012-0061-0049
      • Organization:
      • Submitter Name:
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