As a follow-up to Transmittal 15-43 published on November 5, 2015, the purpose of this transmittal is to alert primary care providers of a permanent rate increase for primary care services which became effective on January 1, 2016. The enhanced payment applies to both fee-for-service and managed care claims. Qualified primary care service providers receiving payment through another provider such as a hospital, a clinic, or a federally-qualified health center are not eligible for the increased payment.