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.
이 프로그램과 관련된 관리 의료 관련 질문은 발의안 56 직접 지불 팀( Prop56DP@dhcs.ca.gov)으로 문의하시기 바랍니다.
브리지 기간(7월 1, 2019 - 12월 31, 2020)**
- 브릿지 기간 P56 발달 선별 검사 서비스 직접 지불 사전 인쇄물
- 브릿지 기간 P56 발달 선별 검사 서비스 직접 지불 승인서
- CY 2020 P56 발달 선별 서비스 프로그램 평가
CY 2021 (January 1, 2021 – December 31, 2021)
- CY 2021 P56 발달 검사 서비스 직접 지불 사전 인쇄물
- CY 2021 P56 발달 검사 서비스 직접 지불 승인서
- CY 2021 P56 발달 선별 서비스 평가 보고서
CY 2022 (January 1, 2022 – December 31, 2022)
- CY 2022 P56 발달 검사 서비스 직접 지불 승인서
- CY 2022 P56 발달 검사 서비스 직접 지불 사전 인쇄물
- CY 2022 P56 발달 선별 서비스 평가 보고서
CY 2023 (January 1, 2023 – December 31, 2023)
- CY 2023 P56 발달 선별 검사 서비스 직접 지불 결합 패키지
- CY 2023 P56 발달 검사 서비스 직접 지불 승인서
- CY 2023 P56 발달 선별 서비스 평가 보고서
CY 2024 (January 1, 2024 – December 31, 2024)
CY 2025 (January 1, 2025 – December 31, 2025)
리소스
*발달 검사 프로그램의 유효 데이터는 브릿지 기간 동안인 1월 1, 2020 입니다.