Abortion Supplemental Payment Program
Pursuant
to 2022
and 2023 Budget Acts, the Department of
Health Care Services (DHCS) is establishing a limited-term supplemental payment
program for non-hospital community clinics that incur significant costs associated
with providing abortion services and that serve Medi-Cal beneficiaries.
Supplemental payments will be paid using state funds through the Fee-For-Service delivery system and shall not exceed the amount appropriated for this purpose. Supplemental payments will be made to qualifying non-hospital community clinics for eligible services billed using procedure codes 59840, 59841 and S0199 with dates of service from January 1, 2023, through December 31, 2024. DHCS will disburse supplemental payments on a quarterly basis through the weekly Fee-For-Service checkwrite. The supplemental payment amount will be reflected as a separate line item on the Remittance Advice Detail document.
Eligible providers and the supplemental payment methodology are described in detail in Provider Rates Policy Letter 23-001.
PROVIDER RATES POLICY LETTER 23-001
Supplemental Payment Timeline
| Dates of Services | Checkwrite Date |
| 2023 Q1 (January to March) | July 31, 2023
|
| 2023 Q2 (April to June) | August 21, 2023
|
2023 Q3 (July to September)
| December 11, 2023
|
| 2023 Q4 (October to December) | March 18, 2024
|
| 2024 Q1 (January to March) | June 10, 2024
|
| 2024 Q2 (April to June) | August 28, 2024
|
| 2024 Q3 (July to September) | November 18, 2024
|
| 2024 Q4 (October to December) | April 7, 2025
|
*Items denoted by an asterisk is the projected checkwrite date.
Contact DHCS
Questions or comments can be submitted to the Fee-For-Service Rates Development Division, Provider Rates Section email box: FFSProviderRates@dhcs.ca.gov
Legislation
Budget Act of 2022: Assembly Bill (AB) 179 (Chapter 45, Statutes of 2022)
Budget Act of 2023: Senate Bill (SB) 101 (Chapter
12, Statutes of 2023)
