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US · guidance

CMS Pub. 100-04, ch. 12, § 230

Primary Care Incentive Payment Program (PCIP)

activein force · 2026-08-25 – presentas-observed

Section 5501(a) of the Affordable Care Act revises section 1833 of the Social Security

Act (the Act) by adding a new paragraph, (x), “Incentive Payments for Primary Care

Services.” Section 1833(x) of the Act states that in the case of primary care services

furnished on or after January 1, 2011, and before January 1, 2016, there shall be a 10

percent incentive payment for such services under Part B when furnished by a primary

care practitioner.

Information regarding Primary Care Incentive Payment Program (PCIP) payments made

to critical access hospitals (CAHs) paid under the optional method can be found in Pub.

100-04, Chapter 4, §250.12 of this manual.

History

(Rev. 2152, Issued: 02-11-11, Effective: 07-01-11, Implementation: 07-05-11)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
2be1c38b9640c0195e7dc2a0f7817038313edde7ea528cc4f2fe38e7b33c014c
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