Tribal_Notifications

TRIBAL AND INDIAN HEALTH PROGRAM DESIGNEE MEDI-CAL INFORMATION

The Department of Health Care Services’ (DHCS) Medi-Cal Program is required to seek advice from designees of Indian Health Programs and Urban Indian Organizations on Medi-Cal matters having a direct effect on Indians, Indian Health Programs or Urban Indian Organizations per the American Recovery and Reinvestment Act of 2009 (ARRA). DHCS must solicit the advice of tribes and designees of Indian health programs prior to submission to Centers for Medicare and Medicaid Services (CMS) of any State Plan Amendment (SPA), waiver requests, waiver renewals, or waiver modifications, or proposals for demonstration projects in the Medi-Cal program. Proposed changes to the Medi-Cal program are submitted quarterly to CMS for approval.

States were given guidance on the implementation of this ARRA requirement through State Medicaid Directors Letter 10-001.

CMS approved the DHCS process for seeking advice on proposed changes to the Medi-Cal program as outlined in SPA 10-018.

Current list of Indian Health Program Designees (update in progress)

UPcoming events and important Notices

Save the Date - Medi-Cal and Tribal Designee Quarterly Webinar, May 30, 2011

New! Meetings and Webinars Page - click here!

Notices of Proposed Changes to the Medi-Cal Program-Quarter Ending September 30, 2011

1115 Waiver – California Bridge to Reform 1115 Waiver Amendment (Co-Payments)

Nursing Facility Acute Hospital (NF/AH) Waiver Renewal

Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) Waiver Amendment Renewal

State Plan Amendment 11-013 (SPA 11-013)– Limit the Total Number of Physician Visits to Seven Per Fiscal Year

Comments/Responses

State Plan Amendment 11-018 (SPA 11-018) – Reimbursement for Physician-Administered Drugs

Notices of Proposed Changes to the Medi-Cal Program-Quarter Ending December 31, 2011

Clarification of Psychology Service Limits at Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) Facilities (SPA 11-031) - Submission Delayed

Notice for Community Living Support Benefit Waiver for the City and County of San Francisco

State Plan Amendment 11-035 - Delay Implementation Date for Adult Day Health Care (ADHC) Benefit Elimination Beyond December 1, 2011

State Plan Amendment 11-036 - Extend the Payment Reduction for Adult Day Health Care (ADHC)

State Plan Amendment 11-038 - Pharmacy Provider Rate Reduction Implementation

State Plan Amendment 11-027 - Emergency Medical Air Transportation Act (Withdrawn)

Waiver 1115 Amendment Implementation of Community Based Adult Services (CBAS)

State Plan Amendment 11-040 - California 1915(i) Home and Community-Based (HCBS) State Plan Services for Eligible Infants and Toddlers

State Plan Amendment 11-041 - California 1915(i) Home and Community Based (HCBS) State Plan Services for Individuals with Developmental Disabilities

Waiver 1915 (c) Home and Community Based (HCBS) Pediatric Palliative Care (PPC) Waiver Renewal

Notice of Proposed Changes to the Medi-Cal Program-Quarter Ending March 31, 2012

State Plan Amendment 12-007 - Religious Nonmedical Health Care Institutions

State Plan Amendment 12-004 - Provider-Preventable Conditions (PPC)

State Plan Amendment 12-010 - Implementation of Twenty Percent Reduction in Authorized Hours for Personal Care Services Program (PCSP), In-Home Supportive Services (IHSS) Plus Option, and Community First Choice Option (CFCO) for Current Recipients and Future Applicants

State Plan Amendment 12-002 - Amendments to the Medi-Cal Tribal and Designee Advisory Process

Comments/Responses

State Plan Amendment 12-006 - Amendments to 10% Outpatient Provider Rate Reduction SPA 11-009

State Plan Amendment 12-012 - AB 97 Exemption for Certain Distinct Part Nursing Facilities

State Plan Amendment 12-008 - Patient Protection and Affordable Care Act (ACA) and Code of Federal Regulation (CFR) Compliance: Provider Screening and Enrollment

Medi-Cal Specialty Mental Health Services Waiver Amendment

State Plan Amendment 12-014 - Pharmacy Provider Rate Reduction Implementation

State Plan Amendment 12-016 - Amends the 10% Outpatient Provider Rate Reduction SPA 11-009

Notice of Proposed Changes to the Medi-Cal Program-Quarter Ending June 30, 2012

State Plan Amendment 12-003 - Federally Qualified Health Center-Rural Health Center Psychology Visit Limit Clarification

California Demonstration to Integrate Care for Dual Eligible Individuals

State Plan Amendment 12-005 - Drug Medi-Cal (DMC) Program Transition to DHCS

State Plan Amendment 12-021 - Public Hospital Distinct Part Nursing Facility (DP/NF) Supplemental Reimbursement

Superior Systems Waiver (SSW) Amendment

1115 California Bridge to Reform Demonstration Waiver (BTR)

State Plan Amendment 12-020 - State Plan Services for Individuals with Developmental Disabilities

1115 Bridge to Reform Demonstration Waiver (BTR) Human Immunodeficiency VIrus (HIV) Transition Project

To view the current DHCS State Plan and view recently approved amendments, please visit the web site below

California State Plan

NOTE: Links on this page are documents in Adobe Acrobat Portable Document Format (PDF); unless indicated are smaller than 2 MB. PDF documents require Adobe Reader. If you need to install or upgrade to the latest version, see the “Download Free Readers” link at the bottom of the page.