Proposition 56 – Adverse Childhood Experiences
Back to: Directed Payments
2016 年 11 月，选民通过了《2016 年加州医疗、研究与预防烟草税法案》（第 56 号提案），该法案提高了香烟和电子烟的消费税率，自 4 月1日、 2017起生效，其他烟草产品的消费税率自 7 月1 、 2017起生效。 对在加州销售香烟的经销商而言，销售税上调至每包（20 支）2.87 美元，其他烟草产品的销售税也相应上调。
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) codes upon approval from Centers for Medicare & Medicaid Services (CMS) and receipt of funding. The Budget Act of 2021 authorized continued funding for the ACE Screening (ACEs) 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 trauma screenings to the state General Fund. Pursuant to State Plan Amendment (SPA) 21-0045, the ACEs program will become a benefit, and it will no longer be funded by Proposition 56. The enhanced directed payment is contingent upon the MCPs’ receipt of providers’ actual utilization for these codes reported through encounter data for SFY 2019-20 through each CMS approved rating period.
如对该计划有任何管理式医疗问题，请联系 DHCS Prop56DP 团队，邮箱地址为Prop56DP@dhcs.ca.gov 。
过渡期 (7 月1 、 2019至 12 月31 、 2020 )*
请注意：根据 42 CFR 438.6，州计划修正案 (SPA) 批准的最低费用表不再需要预印批准；因此，DHCS 将不再在 SPA 流程之外每年向 CMS 请求定向支付授权。
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* The effective date of the ACEs program was January 1, 2020, during the Bridge Period.