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Fiscal Year 2017 – 2018 State Budget Reimbursement Contingency

June 19, 2017

If the State of California does not enact the fiscal year 2017 – 2018 budget by June 30, 2017, the Department of Health Care Services (DHCS) will direct Conduent to implement provisions pursuant to state law to process and adjudicate claims as outlined below.

Conduent will process and adjudicate claims for the following, regardless of dates of service:

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

Conduent will withhold all reimbursements for the following programs regardless of dates of service. The last warrant date for claims for the following programs will be June 22, 2017:

  • CCS-only (aid code 9D)
  • CHDP services only (aid code 8Y)
  • Genetically Handicapped Persons Program (GHPP) (aid code 9J)
  • Optional Targeted Low Income Children’s Program (OTLICP)

Effective for dates of service on or after July 1, 2017, claims submitted by Every Woman Counts (EWC), for which contingency funding is not available, will continue to be processed. Reimbursement for these claims will be withheld until the state budget is approved and Conduent receives approval from the state to resume reimbursement. Claims will continue to be reimbursed for dates of service prior to July 1, 2017.

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