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​​​​​​​​​​​​​​​​​Public Notices for 2021 Proposed State Plan Amendments  

​​​​Back to Proposed State Plan Amendments by Year​

These proposed State Plan Amendments (SPAs) would change statewide methods and standards for Medicaid payment rates. All of these SPAs require a Public Notice prior to submission to CMS. All 2021 Public Notice announcements will be published on this webpage when they are available. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages. For any questions or concerns, please contact PublicInput@dhcs.ca.gov.
 
  • 21-0001 Public Notice Proposes to implement the Current Dental Terminology (CDT) 2020 dental code set one release on July 1, 2021. (Released February 12, 2021)
  • 21-0002 Public Notice Proposes to renew the Home Community Based Services 1915i State Plan for the Developmentally Disabled. (Released February 16, 2021)
  • 21-0004 Public Notice Proposes to extend the supplemental payment program for physician services funded by Proposition 56 past the current sunset date of December 31, 2021, effective beginning January 1, 2022.​ (Released November 17, 2021​
  • 21-0005 Public Notice​ ​Proposes to extend the supplemental payment for freestanding pediatric subacute facilities using Proposition 56 tobacco tax funds. (Released December 6, 2021)
  • 21-0006 Public Notice​ Proposes to ​extend the supplemental payment for intermediate care facilities for the developmentally disabled including habilitative and nursing facilities using Proposition 56 tobacco tax funds. (Released December 6, 2021)
  • 21-0007 Public Notice Proposes to re-define the term “encounter” to include the provision of TCM services via telehealth as well as other permissible communications​ under Welfare and Institutions Code section 14132.725. (Released June 25, 2021)
  • 21-0008 Public Notice and SPA Proposes to adjust the Medi-Cal Fee-For-Service (FFS) reimbursement rates for clinical laboratory services. (Released December 31, 2020)
  • 21-0009 Public Notice and SPA Proposes to adjust the Medi-Cal FFS reimbursement rates for radiology services. (Released December 31, 2020)
  • 21-0010 Public Notice​ Proposes to extend the supplemental payments for Non-Emergency Medical Transportation services funded by Proposition 56 past the current sunset date of December 31, 2021, effective beginning January 1, 2022. (Released November 17, 2021)
  • 21-0011 Public Notice Proposes a time-limited rate increase pursuant to Assembly Bill 79 (2020) for Independent Living Program providers. (Released January 15, 2021)
  • 21-0012 Public Notice Proposes to increase the supplemental payments cap for Martin Luther King Jr. - Los Angeles Health Care Corporation. (Released May 21, 2021)
  • 21-0013 Public Notice Proposes to extend the Supplemental Reimbursement for Qualified Non-Designated Public Hospitals Program to June 30, 2022. (Released March 17, 2021)
  • 21-0014 Public Notice Proposes to extend the Supplemental Reimbursement for Qualified Private Hospitals Program to June 30, 2022. (Released March 12, 2021)
  • 21-0015 Public Notice and SPA Proposes a time-limited supplemental payment program for qualifying non-hospital 340B community clinics. (Released February 5, 2021)
  • 21-0017 Public Notice Proposes to renew the Ground Emergency Medical Transportation Quality Assurance Fee program and the reimbursement add-on provided for Medi-Cal ground emergency medical transports. (Released June 8, 2021)
  • 21-0019 Public Notice Proposes to implement new benefits and pay-for-performance (supplemental) payments for preventive dental services as part of the California Advancing and Innovating Medi-Cal (CalAIM) initiative. (Released August 6, 2021)
  • 21-0021 Public Notice and SPA Proposes to update the Medi-Cal reimbursement methodology for the Diagnosis Related Group program for state fiscal year 2021-22. (Released May 27, 2021)
  • 21-0028 Public Notice and SPA Proposes to add pharmacy Medication Therapy Management (MTM) pharmacist services as a Medi-Cal benefit. (Released May 27, 2021)
  • 21-0029 Public Notice and SPA Proposes to update the dental fee schedule and rates of the Medi-Cal Dental Program Provider Handbook. (Released May 21, 2021)
  • ​21-0030 Public Notice​ Proposes to continue Proposition 56 supplemental payments for certain dental services. (Released September 22, 2021)
  • 21-0033 Public Notice Proposes to extend the supplemental payments for Family Planning, Access, Care, and Treatment (Family PACT) Program providers using Proposition 56 Tobacco Tax Funds. (Released August 11, 2021)​
  • 21-0034 Public Notice Proposes to ex​​tend the supplemental payments for specific Medi-Cal Family ​Planning Services. (Released August 18, 2021)
  • 21-0036 Public Notice​ Proposes to ​provide supplemental payments to eligible hospitals in the hospital quality assurance fee program up to the federal upper payment limit. ​
  • 21-0037 Public Notice Proposes to provide supplemental payments to eligible hospitals that meet specified requirements and provide hospital outpatient services to Medi-Cal beneficiaries. ​
  • 21-0038 Public Notice Proposes to amend the supplemental payments to eligible hospitals that meet specified requirements and provide hospital inpatient services in the Hospital Quality Assurance Fee (HQAF) Program up to the Federal Upper Payment Limit (UPL). (Released June 2, 2021)
  • 21-0039 Public Notice Proposes to amend the supplemental payments to eligible hospitals that meet specified requirements and provide hospital outpatient services in the HQAF Program up to the Federal UPL. (Released June 2, 2021)
  • 21-0040 Public Notice​ Proposes to ​implement the 2019 Rate Study models. (Released November 30, 2021)​
  • 21-0045 Public Notice Proposes to to eliminate the sunset date for the supplemental payment to support developmental screenings and adverse childhood experiences (ACEs) screenings, previously referred to as “trauma screenings”. (Released Augu​st 26, 2021)
  • 21-0046 Public Notice Proposes to renew the supplemental payment program for Emergency Air Medical Transportation Services. (Released June 25, 2021)
  • 21-0048 Public Notice Proposes to establish a reimbursement methodology for remote patient monitoring telehealth services. (Released June 30, 2021)
  • 21-0051 Public Notice​ Proposes​ to add peer support services as a Medi-Cal Rehabilitative Mental Health Service and to include peer support specialists as a distinct provider type, to clarify telehealth definitions, and to remove the existing client plan requirement and update associated plan development activities for Medi-Cal Rehabilitative Mental Health Services. (Released September 2, 2021)​
  • 21-0052 Public Notice Proposes to adjust the Medi-Cal FFS reimbursement rates for clinical laboratory services. (Released June 30, 2021)
  • 21-0058 Public Notice​ Proposes to include Drug Medi-Cal Organized Delivery System ​​expanded substance use disorder services in the State Plan.​ (Released October 8, 2021) ​
  • 21-0059 Public Notice Proposes to change the reimbursement methodology for Freestanding Pediatric Subacute facilities. (Released July 29, 2021)
  • 21-0060 Public Notice Proposes to change the reimbursement methodology for Intermediate Care Facilities for the Developmentally Disabled, including Habilitative and Nursing Facilities. (Released July 29, 2021)
  • 21-0063 Public Notice Proposes to to amend the Alternative Benefit Plan by adding MTM as covered a Medi-Cal benefit for the new adult group. ​(Released August 27, 2021)​
  • 21-0064 Public Notice​ Proposes to exempt Durable Medical Equipment Complex Rehabilitation Technology (DME CRT) and Complex Rehabilitation Technology Services (CRTS) from the Assembly Bill (AB) 97 ten percent payment reductions.
Last modified date: 4/9/2024 10:23 AM