Medi-Cal Update

Hospice Care Program | August 2019 | Bulletin 539

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1. Extended End Date for Proposition 56 Supplemental Payments

Effective for dates of service on or after July 1, 2019, the Department of Health Care Services (DHCS) has extended the end date to December 31, 2021, for supplemental payments allocated under the California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Proposition 56).

Previously implemented supplemental payment amounts shall continue for the following CPT codes, HCPCS codes and accommodation codes:

Physician Services
Codes Amount Codes Amount Codes Amount
99201 $18.00 99214 $62.00 99384 $83.00
99202 $35.00 99215 $76.00 99385 $30.00
99203 $43.00 90791 $35.00 99391 $75.00
99204 $83.00 90792 $35.00 99392 $79.00
99205 $107.00 90863 $5.00 99393 $72.00
99211 $10.00 99381 $77.00 99394 $72.00
99212 $23.00 99382 $80.00 99395 $27.00
99213 $44.00 99383 $77.00    

Family Planning, Access, Care and Treatment (Family PACT)
Codes Amount Codes Amount Codes Amount
99201 $81.18 99204 $244.26 99213 $85.08
99202 $121.59 99211 $42.56 99214 $132.95
99203 $202.77 99212 $64.17    

Intermediate Care Facility for the Developmentally Disabled (ICF/DD)
Accommodation Codes Amount Accommodation Codes Amount
41 and 43
(1 – 59 beds)
$15.47 62 and 64 $12.47
61 and 63 $10.75 66 and 69 $22.30

Intermediate Care Facility for the Developmentally Disabled/Continuous Nursing (ICF/DD-CN)
Codes Amount Codes Amount
T2033 U8 $35.58 T2033 U9 $39.32

Women's Health (Pregnancy/Abortion)
Codes Amount Codes Amount
59840 $149.15 59841 $345.57

HIV/AIDS Waiver
Codes Amount Codes Amount Codes Amount
G0299 $9.12 G0156 $4.51 T2022 $134.06
G0300 $6.61 S5130 $3.35 T2025 $76.63
90837 $47.02 S9470 $30.13    

Free-Standing Pediatric Subacute Facility
Accommodation Codes Amount Accommodation Codes Amount
91 $132.92 94 $132.92
92 $132.92 95 $132.92
93 $132.92 96 $132.92

No action is required of providers. An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.

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2. September 2019 Medi-Cal Provider Seminar

The September Medi-Cal Provider Seminar is scheduled for September 17 – 18, 2019, at the Visalia Convention Center in Visalia, California. Providers can access a class schedule for the seminar by visiting the Provider Training web page of the Medi-Cal Learning Portal (MLP) and clicking the seminar date(s) they would like to attend. Providers may RSVP by logging in to the MLP.

Throughout the year, the Department of Health Care Services (DHCS) and the California Medicaid Management Information System (MMIS) Fiscal Intermediary (FI) for Medi-Cal conduct Medi-Cal training seminars. These seminars, which target both novice and experienced providers and billing staff, cover the following topics:

Providers must register by September 3, 2019, to receive a hard copy of the Medi-Cal provider training workbooks on the date(s) of training. After September 3, 2019, the workbooks will be available only by download on the Medi-Cal Provider Training Workbooks web page of the Medi-Cal website.

Note:

Wi-Fi will not be provided at the seminar. Please plan accordingly.

Providers that require more in-depth claim and billing information have the option to receive one-on-one claims assistance, which is available at all seminars, in the Claims Assistance Room.

Providers may also schedule a custom billing workshop. On the Lookup Regional Representative web page, enter the ZIP code for the area you wish to search and click the “Enter ZIP Code” button. The name of the designated field representative for your area will appear on the map. To contact a regional representative, providers must first contact the Telephone Service Center (TSC) at 1-800-541-5555 and request to be contacted by a representative.

Providers are encouraged to bookmark the Provider Training web page and refer to it often for current seminar information.

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3. Get the Latest Medi-Cal News: Subscribe to MCSS Today

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The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails shortly after urgent announcements and other updates post on the Medi-Cal website.

Subscribing is simple and free!

  1. Go to the MCSS Subscriber Form

  2. Enter your email address and ZIP code and select a subscriber type

  3. Customize your subscription by selecting subject areas for NewsFlash announcements, Medi-Cal Update bulletins and/or System Status Alerts

After submitting the form, a welcome email will be sent to the provided email address. If you are unable to locate the welcome email in your inbox, check your junk email folder.

For more information about MCSS, please visit the MCSS Help page.

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