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Proposition 56 One-Year Supplemental Payment for ICF-DDs

January 23, 2018

On November 28, 2017, the Department of Health Care Services (DHCS) received the Centers for Medicare & Medicaid Services (CMS) approval of State Plan Amendment (SPA) 17-028. SPA 17-028 authorizes a one-year (from August 1, 2017, through July 31, 2018) supplemental payment for Intermediate Care Facilities for the Developmentally Disabled (ICF/DDs), Intermediate Care Facilities for the Developmentally Disabled/Habilitative (ICF/DD-Hs), and Intermediate Care Facilities for the Developmentally Disabled/Nursing (ICF/DD-Ns) funded by the California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Proposition 56) and matching federal funds. Supplemental payments for ICF/DDs, ICF/DD-Hs and ICF/DD-Ns will be made based on claim submissions by each peer group from August 1, 2017, through July 31, 2018.

Providers may refer to the Proposition 56 Supplemental Payment Methodologies PDF on the DHCS website for more information regarding Proposition 56 and supplemental payments for ICF/DD, ICF/DD-H, and ICF/DD-N services.

Additional details will be provided in a future Medi-Cal Update.