CHA News Article

CMS Approves Proposition 56 Supplemental Provider Payments

Last week, the California Department of Health Care Services (DHCS) announced that it received Centers for Medicare & Medicaid Services’ (CMS) approval of its state plan amendment to extend the supplemental payment program for certain physician services. The effective date is retroactive to July 1, 2018, and the program will be extended an additional 12 months — from July 1, 2018, to June 30, 2019. The supplemental payments are funded by the 2016 state voter-approved Proposition 56, the California Healthcare, Research and Prevention Tobacco Tax Act. For newly added Current Procedure Terminology codes for physician services and for codes with changes to the supplemental payment amounts, payment was expected to begin on Sept. 24, 2018. DHCS will process retroactive payments in the first half of 2019; providers are not required to take any additional action. More information about these payments and DHCS’ proposal is available in a previous CHA News article.