Proposition 56 Non-Emergency Medical Transportation – Supplemental Payment
Rov qab mus rau Txoj Cai 56
Rov qab mus rau Txheej Txheem Cej Luam | Cov Khoom Siv Tam Sim No
Keeb kwm
Thaum Lub Kaum Ib Hlis 8, 2016, cov neeg pov npav hauv California tau pom zoo rau California Healthcare, Research thiab Prevention Tobacco Act (feem ntau hu ua Proposition 56 lossis Prop. 56) kom nce tus nqi se excise rau cov luam yeeb thiab cov khoom luam yeeb. Nyob rau hauv Prop. 56, ib feem tshwj xeeb ntawm cov nyiaj tau los ntawm se luam yeeb raug muab faib rau DHCS rau kev siv ua feem ntawm cov nuj nqis kho mob uas tsis yog tsoomfwv raws li cov txheej txheem peev nyiaj txhua xyoo ntawm lub xeev. Cov Chaw Pabcuam Medicare & Medicaid tau pom zoo SPA 22-0009 tso cai rau DHCS siv Prop. 56 cov nyiaj los muab kev them nyiaj ntxiv rau cov kev pabcuam NEMT siv tau txij lub Ib Hlis 1, 2022, thiab SPA 23-0039 tau tsim cov kev them nyiaj ntxiv raws li lub sijhawm txwv txog rau Lub Rau Hli 30, 2022.
Txheej txheem cej luam
Rau cov hnub ua haujlwm txog rau lub Rau Hli 30, 2022, DHCS muab kev them rov qab ntxiv rau cov kev pabcuam thauj neeg mob uas tsis yog xwm txheej ceev (NEMT) uas tsim nyog rau cov neeg tau txais Medi-Cal. Cov nyiaj them rov qab ntxiv yog tus nqi ruaj khov uas muab rau saum tus nqi pib, rau cov kev pabcuam NEMT tsim nyog uas tau muab thaum lub sijhawm siv tau. Tus nqi pib rau cov kev pabcuam NEMT tseem tsis hloov pauv thaum lub sijhawm no. Cov nqi pib rau cov kev pabcuam NEMT yog cov nqi uas tau teeb tsa los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv rau txhua tus lej txheej txheem.
Cov nyiaj them ntxiv yog sib npaug rau 10 feem pua ntawm kev 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 sib npaug ntawm 25 feem pua nce. Cov chaw muab kev pabcuam thauj mus los kho mob hauv av thiab cov chaw muab kev pabcuam thauj mus los kho mob hauv huab cua tsim nyog rau cov nyiaj them ntxiv. Lub rooj hauv qab no qhia txog cov lej tsim nyog rau kev them nyiaj ntxiv thiab tus nqi 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 |
Cov Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo rau lub sijhawm txwv kev them rov qab rau cov kev pabcuam tsim nyog tau muab rau cov neeg tau txais txiaj ntsig Medi-Cal rau hnub ua haujlwm Lub Xya Hli 1, 2019, txog 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 |