Proposition 56 Non-Emergency Medical Transportation – Supplemental Payment
Rov qab mus rau Proposition 56
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Keeb kwm
On November 8, 2016, California voters approved the California Healthcare, Research and Prevention Tobacco Tax Act (commonly known as Proposition 56 or Prop. 56) to increase the excise tax rate on cigarettes and tobacco products. Under Prop. 56, a specified portion of the tobacco tax revenue is allocated to DHCS for use as the nonfederal share of health care expenditures in accordance with the annual state budget process. The Centers for Medicare & Medicaid Services approved SPA 22-0009 authorizing DHCS to use Prop. 56 funds to provide supplemental payments for NEMT services effective January 1, 2022, and SPA 23-0039 established the supplemental payments as time-limited through June 30, 2022.
Txheej txheem cej luam
Txog hnub uas tau txais kev pab mus txog rau lub Rau Hli 30, 2022, DHCS muab cov nyiaj them rov qab ntxiv rau cov kev pabcuam uas tsis muaj xwm txheej ceev (NEMT) uas tau muab rau cov neeg tau txais txiaj ntsig Medi-Cal. Cov nyiaj them rov qab ntxiv yog tus nqi tas li uas tau muab los ntawm cov nqi hauv qab, rau cov kev pabcuam NEMT uas tsim nyog tau muab rau lub sijhawm siv. Tus nqi pib rau NEMT cov kev pabcuam tseem tsis hloov pauv thaum lub sijhawm no. Cov nqi hauv qab rau cov kev pabcuam NEMT yog cov nqi tsim los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv rau txhua txoj cai.
Cov nyiaj them ntxiv yog sib npaug rau 10 feem pua nce ntawm cov nqi tam sim no rau Medi-Cal Fee-for-Service (FFS) NEMT cov kev pabcuam, tshwj tsis yog rau cov lej A0130 thiab A0380, uas tau txais qhov sib npaug ntawm 25 feem pua nce. Kev thauj mus los hauv Kev Kho Mob hauv av thiab Cov Chaw Kho Mob Cua Kho Mob tau tsim nyog tau txais cov nyiaj pab ntxiv. Cov lus hauv qab no qhia txog cov lej tsim nyog rau kev them nyiaj ntxiv thiab cov nyiaj them rov qab.
| Txheej Txheem Cai | Cov Nyiaj Ntxiv | Txheej Txheem Cai | Cov Nyiaj Ntxiv | Txheej Txheem Cai | Cov Nyiaj Ntxiv |
|---|---|---|---|---|---|
| 93005 | $1.64 | A0424 | $1.64 | A0435 | $1.43 |
| 93041 | $0.51 | A0425 | $0.36 | A0436 | $2.21 |
| A0130 | $4.41 | A0426 | $10.72 | T2001 | $0.55 |
| A0380 | $0.33 | A0428 | $10.72 | T2005 | $2.63 |
| A0420 | $1.98 | A0430 | $127.50 | T2007 | $1.13 |
| A0120 | $1.77 | A0390 | $0.13 | ||
| A0422 | $1.00 | A0431 | $180.00 |
Lub Chaw Pabcuam Medicare & Medicaid (CMS) tau pom zoo rau lub sijhawm txwv kev them nyiaj rov qab rau cov kev pabcuam tsim nyog muab rau cov neeg tau txais kev pabcuam Medi-Cal rau hnub ua haujlwm Lub Xya Hli 1, 2019, txog rau Lub Rau Hli 30 2022.
SPA 22-0039
The Centers for Medicare & Medicaid Services approved SPA 22-0039 on December 16, 2022, authorizing DHCS to exempt NEMT providers from the AB 97 payment reductions and increase base reimbursement for selected NEMT service reimbursement to maintain payment levels in effect on December 31, 2021, including supplemental payments or rate increases formerly funded by Proposition 56 for dates of service on or after July 1, 2022.
Cov lus hauv qab no qhia txog cov nqi them rov qab los siv rau cov hnub ua haujlwm rau lossis tom qab Lub Xya Hli 1, 2022.
| Txheej Txheem Cai | Cov txheej txheem Code piav qhia | Base Rate pib lub Xya hli ntuj 1, 2022 |
| A0130 |
Kev thauj mus los tsis yog xwm txheej: lub rooj zaum muaj log |
$ 20.30 |
| A0380 |
Basic Life Support (BLS) mileage (ib mais) (siv rau lub rooj zaum muaj log thiab litter tsheb thauj khoom nkaus xwb) |
$ 1.50 |