Deadline for 2013 Medi-Cal EHR incentive payments extended The deadline for providers to apply for Medi-Cal electronic health records (EHR) incentive payments for the 2013 program year has been extended by one month to April 30, 2014. After that date, the State Level Registry (SLR) will no longer accept 2013 applications. For the 2014 program year, providers who are attesting to adopting, implementing or upgrading certified EHRs can currently apply to the SLR for 2014 program year incentive payments. However, the SLR is currently unable to accept applications from providers attesting to meaningful use for 2014. The SLR ... March 27, 2014 Medi-Cal Incentive Payments, Medi-Cal, EHR 0 0 Comment Read More »
DHCS to automate Medi-Cal provider enrollment The California Department of Health Care Services (DHCS) will soon be automating its Medi-Cal provider enrollment processes. The hope is that the new system, expected to go live this fall, will improve the provider enrollment experience by minimizing errors in the application process and significantly reducing the time required to process provider enrollments. The new enrollment system, called the Provider Application and Validation for Enrollment (PAVE) system, will be a web-based portal that providers can use to submit application and verifications and report changes. Initially, PAVE will only be available for ... March 27, 2014 Medi-Cal Medi-Cal, DHCS, Medi-Cal Provider Enrollment 0 0 Comment Read More »
CMA surveys health plans on implementation plans for CMS 1500 claim form The California Medical Association (CMA) surveyed the major payors in California to find out which of them will follow the Centers for Medicare and Medicaid Service’s (CMS) lead and require submission of paper claims on the new CMS 1500 form (version 02/12 OMB control number 0938-1197). CMS will no longer accept claims on the old forms effective April 1. CMA’s survey found that some health plans will require the new 1500 version on April 1, others will allow for continued submission of the previous version. To view a detailed breakdown ... March 27, 2014 Medi-Cal, Medicare ICD-10, Practice Resources, CMS, Insurance/Reimbursement 0 0 Comment Read More »
Free webinar on new Medi-Cal alcohol screening and prevention benefit Primary care physicians are invited to attend a free webinar that will cover a new Medi-Cal benefit for individuals with alcohol use disorders, as well as those who are at risk of developing these disorders. The webinar, 12 to 1 p.m. on Monday, March 24, will be presented by the California Department of Health Care Services (DHCS) in partnership with Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) experts from the University of California, Los Angeles and L.A. Care Health Plan. Participants will learn more about the SBIRT benefit, ... March 19, 2014 Medi-Cal Continuig Medical Education, Medi-Cal, Webinars, CME 0 0 Comment Read More »
Medi-Cal offers billing seminars April 22 and 23 in Anaheim Throughout the year, the Department of Health Care Services (DHCS) offers in person Medi-Cal training seminars, designed for providers and billing staff at all levels. The next two seminars are scheduled for April 22 and 23, 2014, at the Anaheim Convention Center. These seminars cover the following topics: Changes to Medi-Cal billing ICD-10 overview Basic and advanced billing issues Provider-specific billing questions Specialty programs such as California Children’s Services/Genetically Handicapped Persons Program For more information or ... March 12, 2014 Medi-Cal Billing/Coding, Medi-Cal, Practice Management, Insurance/Reimbursement 0 0 Comment Read More »
Deadlines loom for Medi-Cal EHR Incentive Program The deadline for providers to apply for Medi-Cal electronic health records (EHR) incentive payments the 2013 program year is March 31, 2014. After that date, the State Level Registry (SLR) will no longer accept 2013 applications. For the 2014 program year, providers who are attesting to adopting, implementing or upgrading certified EHRs can currently apply to the SLR for 2014 program year incentive payments. However, the SLR is currently unable to accept applications from providers attesting to meaningful use for 2014. The SLR will not begin accepting 2014 meaningful use ... March 7, 2014 Medi-Cal Electronic Health Record, Incentive Payments, Insurance/Reimbursement, Medi-Cal, EHR, Health Information Technology 0 0 Comment Read More »
Legislation introduced to restore Medi-Cal funding Today Assembly Budget Chair Nancy Skinner and Assembly Health Chair Richard Pan, M.D., introduced two bills, one that would restore the 10 percent Medi-Cal physician payment cut that went into effect this year and another that would extend the temporary Medi-Cal primary care rate increases called for under the Affordable Care Act (ACA). “I have sought to make the Medi-Cal program more cost-effective, transparent and accountable,” said Dr. Pan. “The legislation that we are introducing today continues this effort.” Medicaid rates in California are the lowest in the nation, while the ... February 20, 2014 Medi-Cal ACA, Insurance/Reimbursement, Medi-Cal, Medi-Cal Cuts, State Legislative Advocacy, Affordable Care Act, We Care for California 0 0 Comment Read More »
Another delay for the Cal MediConnect project for dual eligibles The California Department of Health Care Services (DHCS) recently announced yet another delay for the Cal MediConnect project for dual eligibles. Implementation in Orange County has been delayed indefinitely, following a Centers for Medicare and Medicaid Services (CMS) audit of CalOptima—which is the county's only Medi-Cal managed care plan. The audit uncovered a number of serious issues that must be resolved before the duals transition can move forward in Orange County. Previously, Orange County was scheduled to begin passive enrollment on April 1, 2014. According to DHCS, implementation of Cal ... February 12, 2014 Medi-Cal, Medicare Medi-Cal, Medicare, Dual Eligible, Insurance/Reimbursement 0 0 Comment Read More »
DHCS pays over $100 million to primary care physicians in initial retroactive Medi-Cal rate increase payment The Department of Health Care Services (DHCS) has now made several retroactive interim payments to primary care physicians who have attested to their eligibility for the rate increases called for under the Affordable Care Act (ACA). These primary care payment increases have been put in place by the federal government in an effort to recruit more primary care physicians to treat low-income patients who will be newly eligible for health coverage in 2014. Although under the ACA the rate increases took effect on January 1, 2013, DHCS had been waiting ... February 7, 2014 Medi-Cal Affordable Care Act, Insurance/Reimbursement, Medi-Cal, ACA 0 0 Comment Read More »
Gov. Brown's proposed budget eliminates retroactive Medi-Cal cuts Governor Jerry Brown this morning announced that the State of California would not be moving forward with retroactive collection of a 10 percent cut to the Medi-Cal program, a win for physicians and patients in California. The announcement came as part of the governor's 2014-2015 fiscal year budget proposal. "The Governor’s budget demonstrates a clear understanding of the importance that California’s Medicaid (Medi-Cal) program has for the state’s poorest and most vulnerable patients," says Richard Thorp, M.D., president of the California Medical Association (CMA). “After voicing a commitment to expand ... January 14, 2014 Medi-Cal Medi-Cal, Insurance/Reimbursement 0 0 Comment Read More »
