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Medicaid Primary Care Fee Increase To increase access to primary care services for Medicaid beneficiaries, the Patient Protection and Affordable Care Act (ACA) contains a provision directing state Medicaid agencies to increase certain payments to primary care providers. Primary care physicians with specialty designations of pediatric medicine, family medicine and/or general internal medicine receive increased Medicaid payments for certain services rendered to Medicaid members between January 1, 2013 and December 31, 2014. Please note that the increased rates associated with qualifying procedure codes for attested primary care providers ended on December 31, 2014. Primary Care Provider Payment Increase Letter (Updated 4/12/13)Summary of Rhode Island Medicaid's 2013-2014 Primary Care Rate Increase Frequently Asked Questions 2013 Medicare Rates for RI Covered Services