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Proposed State Plan Amendments

The following are links to State Plan Amendments (SPA) that DHCS will submit to the Centers for Medicare and Medicaid Services (CMS) for review and are currently soliciting input.  These SPAs have not yet been submitted.  The final versions may be subject to significant change based on public input.
 
NOTE: Some links on this page are documents in Adobe Acrobat Portable Document Format (PDF). PDF documents require Adobe Reader. 

Proposed State Plan Amendments  

17-014 Proposed to Seek Continuation of Federal Authority for the Medi-Cal Fee-For-Service (FFS) Reimbursement Methodology for Radiology Services.

          -draft for Public Comment

 

17-009 Proposed to provide for direct and indirect graduate medical education payments to designated public hospitals participating in the Medi-Cal Managed Care Program and their affiliated public medical/nursing/paramedical schools

          -Public Notice
          -draft for Public Comment 
 

17-006 Proposed One-Time, Supplemental Payment for Specified Service Categories to Implement AB 97 Recoupment Forgiveness

          -Public Notice 

17-004 & 17-005 Proposed to continue the Hospital Quality Assurance Fee program to provide supplemental payments to eligible California private hospitals up to the federal upper payment limit
          -Public Notice
          -draft for Public Comment 
 
17-003 Proposed state plan amendment for updating the Medi-Cal reimbursement methodology for DRG hospitals on acute inpatient intensive rehabilitation services
          -Public Notice
          -draft for Public Comment 
 
17-001 Proposed state plan amendment clarifying reimbursement policies for federally qualified health centers (FQHC) and rural health clinics (RHC) and adding marriage and family therapists as a new FQHC/RHC billable provider
          -Public Notice

 

16-022 Private Hospital Supplemental Fund proposed reduction in payment

-draft for Public Comment 

16-029 Transition of Kern Medical Center from a Short-Doyle/Medi-Cal Hospital to a Negotiated Fee for Service Hospital for Psychiatric Inpatient Services

-draft for Public Comment

16-032 Cost-based Reimbursement for Alameda Hospital and San Leandro Hospital

-draft for Public Comment

-draft for Public Comment (ADA compliant version)

16-XXX Provide Supplemental Payments to hospitals up to the federal Upper Payment Limit 

-Public Notice

16-046 Proposed Rate Changes to Medi-Cal Reimbursement for Radiology Services

Last modified on: 3/23/2017 3:28 PM