Directed Payments Supplemental Dental Payments
On November 8, 2016, California voters approved the California Healthcare, Research and Prevention Tobacco Tax Act (commonly known as 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. As detailed in the State Plan Amendment notice linked below, the proposed supplemental payment categories for dental services will include restorative, endodontic, prosthodontic, oral and maxillofacial, adjunctive, and visits and diagnostic services. The Supplemental payment will be at a rate equal to 40 percent of the Dental Schedule of Maximum Allowances (SMA) for the specified codes.
The specified codes are listed in the attachments below: