Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo

FY 2012 – 2013 State Budget Reimbursement Contingency

June 15, 2012

If the State of California does not enact the Fiscal Year (FY) 2012 – 2013 budget by June 30, 2012, the Department of Health Care Services (DHCS) will direct the DHCS Fiscal Intermediary (FI), ACS, to implement provisions pursuant to state law to continue processing and adjudicating claims as outlined below.

ACS will process and adjudicate claims for the following programs, regardless of date of service.

  • Medi-Cal
  • Family PACT (Planning, Access, Care and Treatment)
  • California Children’s Services (CCS)/Medi-Cal
  • Child Health and Disability Prevention (CHDP)/Medi-Cal
  • Abortion

ACS will withhold all reimbursements for the following programs regardless of dates of service. The last warrant date for claims for these programs will be June 21, 2012.

  • CCS-only
  • Genetically Handicapped Persons Program (GHPP)
  • Healthy Families (HF)
  • CHDP-only (aid code 8Y)

Effective for dates of service on or after July 1, 2012, claims submitted by the following programs, for which contingency funding is not available, will continue to be processed; however, reimbursement for these claims will be withheld until the state budget is approved and ACS receives approval from the state to resume reimbursement. Claims will continue to pay for dates of service prior to July 1, 2012. The following programs will be affected by the temporary withhold:

  • Cancer Detection Programs: Every Woman Counts (CDP: EWC)

All providers are asked to continue to render services and submit claims for processing.

For more information, please contact the Telephone Service Center at 1-800-541-5555.