Proposition 56 – Developmental Screening Services
Back to: Directed Payments
The California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Proposition 56), passed by the voters in November 2016, increased the excise tax rate on cigarettes and electronic cigarettes, effective April 1, 2017, and other tobacco products effective July 1, 2017. The excise tax increased to $2.87 per pack of 20 cigarettes on distributors selling cigarettes in California with an equivalent excise tax rate increase on other tobacco products. Beginning with the Bridge Period (July 1, 2019 through December 31, 2020) rating period and January 1, 2020 dates of service, the state has directed Managed Care Plans (MCPs) to make enhanced supplemental payments to eligible provider types for the applicable Current Procedural Technology (CPT) code upon approval from Centers for Medicare & Medicaid Services (CMS) and receipt of funding. The Budget Act of 2021 authorized continued funding for developmental screening services payments past the December 31, 2021, sunset date. In addition, beginning July 1, 2022, the Budget Act of 2021 changed the source of the nonfederal share of the directed payments for developmental screenings to the state General Fund. Pursuant to State Plan Amendment (SPA) 21-0045, the developmental screening services program will become a benefit and will no longer by funded by Proposition 56 one the SPA receives CMS approval. The enhanced directed payment is contingent upon the MCPs’ receipt of the providers’ actual utilization for these codes reported through encounter data. for Bridge Period through each CMS approved rating period.
このプログラムに関するマネージドケアに関するご質問は、 Prop56DP@dhcs.ca.gov のProposition 56 Directed Paymentチームにお問い合わせください。
ブリッジ期間( 1年7月 2019 日〜12月 31日、 2020日)*
- ブリッジ期間P56発達スクリーニングサービス指向支払いプレプリント
- ブリッジ期間P56発達スクリーニングサービス指示支払い承認書
- CY 2020 P56 Developmental Screening Services Program 評価
CY 2021 (January 1, 2021 – December 31, 2021)
- CY 2021 P56 Developmental Screening Services Directed Payment プレプリント
- CY 2021 P56発達スクリーニングサービス指示支払い承認書
- CY 2021 P56 Developmental Screening Services 評価報告書
CY 2022 (January 1, 2022 – December 31, 2022)
- CY 2022 P56 Developmental Screening Services Directed Payment Approval Letter
- CY 2022 P56 Developmental Screening Services Directed Payment プレプリント
- CY 2022 P56発達スクリーニングサービス評価報告書
CY 2023 (January 1, 2023 – December 31, 2023)
- CY 2023 P56 Developmental Screening Services Directed Payment Combined Package
- CY 2023 P56 Developmental Screening Services Directed Payment Approval Letter
- CY 2023 P56 発達スクリーニングサービス評価報告書
CY 2024 (January 1, 2024 – December 31, 2024)
CY 2025 (January 1, 2025 – December 31, 2025)
リソース
※Developmental Screening Programの実効データは、ブリッジ期間中の 1年1月 2020日でした。