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CMS Pub. 100-04, ch. 12, § 230.2

Coordination with Other Payments

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

Section 5501(a)(3) of the Affordable Care Act authorizes payment under the PCIP as an

additional payment amount for specified primary care services without regard to any

additional payment for the service under Section 1833(m) of the Act. Therefore, an

eligible primary care physician furnishing a primary care service in a health professional

shortage area (HPSA) may receive both a HPSA physician bonus payment (as described

in the Medicare Claims Processing Manual, Pub. 100-04, Chapter 12, §90.4) under the

HPSA physician bonus program and a PCIP incentive payment under the new program

beginning in CY 2011.

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
4c434482d2a96e615d43586a7a9a1d1c42afd02448110ca3ce0bae6ccf0a7356
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