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ACA Federal Upper Limits Coming Soon

March 14, 2016

The Centers for Medicare & Medicaid Services (CMS) released the Patient Protection and Affordable Care Act (ACA) Federal Upper Limit (FUL) final rule, enabling the implementation of revised FULs.

CMS will publish the final ACA FULs in late March 2016, and CMS will publish ACA FULs on a monthly basis.

The Department of Health Care Services (DHCS) will publish the ACA FULs in mid-April 2016. The ACA FULs will be effective April 15, 2016. DHCS will end date the current FULs.

CMS has published draft versions of the FULs since September 2011. Draft ACA FULs are available on the Federal Upper Limits page of the Medicaid website.

Additional information and updated provider manual pages will be published in a future Medi-Cal Update.