Proposition 56 – Supplemental Payment for Physician Services
Back to Directed Payments | Fee-For-Service Supplemental Payment
California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Proposition 56), dhau los ntawm cov neeg xaiv tsa thaum lub Kaum Ib Hlis 2016, tau nce tus nqi se rau cov luam yeeb thiab cov luam yeeb hluav taws xob, nce lub Plaub Hlis 1, 2017, thiab lwm yam khoom luam yeeb pib txij lub Xya Hli 1, 2017. Cov se se tawm tau nce mus rau $ 2.87 ib pob ntawm 20 luam yeeb ntawm cov neeg muag khoom muag luam yeeb hauv California nrog rau cov se se sib npaug nce rau lwm cov khoom lag luam luam yeeb.
Beginning with the State Fiscal Year (SFY) 2017-18 rating period, the state has directed Managed Care Plans (MCPs) to make enhanced supplemental payments to eligible provider types for the applicable Current Procedural Technology (CPT) codes upon approval from Centers for Medicare & Medicaid Services (CMS) and receipt of funding. The enhanced supplemental payment is contingent upon the MCPs’ receipt of providers’ actual utilization for these codes reported through encounter data for SFY 2017-18 through each CMS approved rating period.
Rau ib qho lus nug txog kev saib xyuas txog qhov kev zov me nyuam, thov hu mus rau Pab Pawg Proposition 56 Directed Payment ntawm Prop56DP@dhcs.ca.gov.
SFY 2017/2018 (July 1, 2017 – June 30, 2018)
- SFY 2017-18 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Them Nyiaj Ua Ntej
- SFY 2017-18 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Pom Zoo Tsab Ntawv Pom Zoo
- SFY 2017-2018 Directed Payment Evaluation
SFY 2018/2019 (July 1, 2018 – June 30, 2019)
- SFY 2018-19 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Them Nyiaj Ua Ntej
- SFY 2018-19 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Pom Zoo Tsab Ntawv Pom Zoo
- SFY 2018-2019 Directed Payment Evaluation
Choj Lub Sijhawm (Lub Xya Hli 1, 2019 - Kaum Ob Hlis 31, 2020)
- Choj Lub Sij Hawm P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Them Nyiaj Ua Ntej
- Choj Lub Sij Hawm P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Daim Ntawv Pom Zoo Them Nyiaj
- Choj Lub Sij Hawm P56 Qhia Kev Ntsuas Kev Them Nyiaj
CY 2021 (January 1, 2021 – December 31, 2021)
- CY 2021 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Them Nyiaj Ua Ntej
- CY 2021 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Daim Ntawv Pom Zoo Them Nyiaj
- CY 2021 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Kev Ntsuam Xyuas Kev Them Nyiaj
CY 2022 (January 1, 2022 – December 31, 2022)
- CY 2022 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Txog Daim Ntawv Pom Zoo Them Nyiaj
- CY 2022 P56 Tus Kws Kho Mob Kev Pabcuam Qhia Kev Them Nyiaj Ua ntej
- CY 2022 P56 Tus Kws Kho Mob Kev Pabcuam Kev Ntsuam Xyuas Daim Ntawv Qhia
CY 2023 (January 1, 2023 – December 31, 2023)
- CY 2023 P56 Tus Kws Kho Mob Cov Kev Pabcuam Qhia Txog Kev Them Nyiaj Ua Ke
- CY 2023 P56 Tus Kws Kho Mob Kev Pabcuam Kev Ntsuam Xyuas Daim Ntawv Qhia