Updated Fees for Physicians
As part of the New York State (NYS) Enacted Budget for fiscal year (FY) 2023-2024, the NYS Department of Health (DOH) was authorized to benchmark NYS Medicaid fee-for-service (FFS) reimbursement rates to 80 percent of current Medicare reimbursement rates for non-facility services. This change will impact the NYS Physician Fee Schedules: Medicine, Drug, Surgery, and Radiology. Additionally, it will benchmark nurse practitioners (NPs) to 95 percent of the newly established physician fees. This investment in the physician and primary care workforce is expected to improve NYS Medicaid members’ access to primary and preventative care. Effective October 1, 2023, fees for over 7,000 procedure codes on the NYS Physician Fee Schedules will increase. Click here for more information.
