R13031CP

Transmittal #
R13031CP
Issue Date
2024-12-31
Subject

Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2025

Implementation Date
2025-01-06
CR #
13942
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2025-01-08
Publication #
100-04
Transmittal Year
2024

MLN Connects® Newsletter Message

Historically Excepted Tribal Federally Qualified Health Centers: CY 2025 Payment Rate 

The CY 2025 historically excepted (previously called grandfathered) tribal Federally Qualified Health Center Prospective Payment System rate is $718 for medically necessary face-to-face visits.

CMS will adjust CY 2025 claims paid at the CY 2024 rate. You don’t need to take any action.

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

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