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)
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
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Fall 2012
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: PL 111-152, sec 1202; SSA 1902, 1932,1905, title XIX, sec 1928, PL 103-66, sec 13631
Government Levels Affected: Federal, State
Federalism Implications: No
Unfunded Mandates: No
Requires Regulatory Flexibility Analysis: No
Small Entities Affected: No
International Impacts: No
Energy Effects: No
Included in Regulatory Plan: No
Legal Deadline
ActionDateFR Citation
NPRM05/11/201277 FR 27671
NPRM Comment Period End06/11/2012
Final Action11/06/201277 FR 66670
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

View All  (6)
Comment Period Closed
Jun 11, 2012 11:59 PM ET
Proposed Rule
Posted: 05/11/2012
ID: CMS-2012-0061-0002
Comment Period Closed
May 11, 2012 11:59 PM ET
Proposed Rule
Posted: 05/11/2012
ID: CMS-2012-0061-0001
Comment Period Closed
Posted: 07/02/2014
ID: CMS-2012-0061-0152

Supporting Documents

No documents available.


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Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Mary Cieslicki
Health Insurance Specialist
Mail Stop S3-14-28, 7500 Security Boulevard, Baltimore, MD 21244
Baltimore, MD 21244
*This count refers to the total comment/submissions received on this docket, as of 11:59 PM yesterday. Note: Agencies review all submissions, however some agencies may choose to redact, or withhold, certain submissions (or portions thereof) such as those containing private or proprietary information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. This can result in discrepancies between this count and those displayed when conducting searches on the Public Submission document type. For specific information about an agency’s public submission policy, refer to its website or the Federal Register document.