​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Proposition 56 - Dental Services

Back to Directed Payments  | Fee-For-Service Supplemental Payment

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. The resulting revenue has been allocated to increase funding for existing health care programs administered by DHCS.

Beginning with the State Fiscal Year (SFY) 2017-18 rating period, the state has directed Dental Managed Care Plan (DMCPs) 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 DMCPs' receipt of providers' actual utilization for these codes reported through encounter data.

For any managed care questions regarding this program, please reach out to the Proposition 56 Directed Payment team at Prop56DP@dhcs.ca.gov.

​State Fiscal Year (SFY) 2017​-18 ​(July 1, 2017 - June 30, 2018)

S​tate Fiscal Year (SFY) 2019-20 (July 1, 2019 - June 30, 2020)

• ​SFY 2019-20 Dental Services Directed Payments Approval Letter
• SFY 2019-20 Dental Services Directed Payments Preprint
• SFY 2019-20 Proposition 56 Dental Evaluation

July 1, 2020 - Decemb​er 31, 2020

•  7/1/2020 - 12/31/2020 Dental Services Approval Letter
  
•  7/1/2020 - 12/31/2020 Dental Services Preprint​
• 7/1/2020 - 12/31/2020 Proposition 56 Dental Evaluation​

CY 2021 (January 1, 2021 - December 31, 2021)

​​CY 2022 (January 1, 2022 - December 31, 2022)

• ​CY 2022 Dental Services Approval Letter
  
• CY 2022 Dental Services Preprint
• CY 2022 Dental Services Evaluation Report for Program Year 5​​​​​

CY 2023 (January 1, 2023 - December 31, 2023)

• ​CY 2023 Dental Services Approval Package​
• CY 2023 Combined Package​ ​
  

​​CY 2025 (January 1, 2025 - December 31, 2025)

• ​CY 2025 Dental Services Approval Package​​

Resources​​​

• ​Proposition 56 Directed Payments Expenditures File Technical Guidance​ ​
  
• Proposition 56 Managed Care Contact List ​
  
• ​​​APL 18-010
• APL 19-002
  
• APL 20-001