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California lawmakers unveil bill to tax MCOs and plug $1.1 billion hole in budget

California lawmakers on Monday unveiled two identical bills to replace the soon-to-expire tax on managed care organizations (MCO). The bills, ABx2 20 (Bonta) and SBx2 15 (Hernandez), are the product of 14 months of negations with MCOs. These bills are supported by the California Association of Health Plans, with most member plans either supportive or neutral. The current MCO tax will expire this summer if legislators cannot agree on a replacement. Since 2005, the state has taxed MCOs and used the money to cover the costs of the Medi-Cal program. ...

California Medical Association responds to unveiling of Governor Brown's proposed 2016-17 state budget

Sacramento – Steve Larson, M.D., president of the California Medical Association (CMA), representing over 41,000 physicians statewide, issued the following statement in response to the unveiling of Governor Brown’s proposed 2016-17 state budget released this morning: “We are pleased to see the Governor is committed to working with the legislature and health plans to find a solution to the MCO tax. Without that, a gaping hole would exist in the state’s Medicaid (Medi-Cal) fund that would have devastating impacts on patients across the state. “Ensuring that Medi-Cal is better funded ...

DHCS urges providers to attest for Medi-Cal meaningful use before December 14

The California Department of Health Care Services (DHCS) announced yesterday that after December 14, 2015, it may be required to stop accepting new Medi-Cal meaningful use attestations due to changes in the federal regulations governing the Medi-Cal Electronic Health Records Incentive Program. It is urging all newly attesting Medi-Cal providers to file before December 14, 2015. DHCS said it might be required by the Centers for Medicare and Medicaid Services to stop accepting meaningful use attestations from professionals and hospitals; it is unclear when meaningful use attestations would be reopened. This ...

CMA supports ballot measure on hospital fee program to stabilize health care access for low-income residents

The California Medical Association (CMA) has joined a broad coalition of health care providers and community groups in support of an initiative, the “Medi-Cal Funding and Accountability Act,” which will appear on the November 2016 ballot. The initiative would extend a critical hospital fee program in order to provide a stable source of health care funding to serve California’s most vulnerable citizens: children, seniors and low-income residents. The initiative builds on SB 239, an important and unanimous bipartisan agreement passed by the legislature and signed by Governor Jerry Brown in ...

Are you signed up for Medi-Cal's Subscription Service

The California Department of Health Care Services (DHCS) last year launched the Medi-Cal Subscription Service (MCSS). Subscribers can sign up to receive monthly digest bulletins and/or as-it-happens "news flashes" for critical or time-sensitive issues. You can tailor your subscription to receive only information on subject matters of interest to you and your practice, including billing, payment and policy rule changes. Subscriptions are free. To sign up, go to www.medi-cal.ca.gov/mcss, select the subject matter areas of interest, and fill in your email and zip code. To help providers more easily access important ...

Providers who refer, order or prescribe for Medi-Cal beneficiaries must enroll with DHCS

Under the Affordable Care Act, all providers who order, refer or prescribe (including but not limited to physicians, nurse practitioners and physician assistants) for Medi-Cal beneficiaries must be enrolled in the Medi-Cal program. Previously, providers needed to enroll only if they wished to furnish (and bill for) covered services for Medi-Cal beneficiaries. If an ordering and/or referring provider (ORP) is not enrolled in Medi-Cal, the "filling providers" (for example, the pharmacy that is filling the patient’s prescription or the specialist you are referring a patient to for treatment) will ...

CMA urges Congress to fix EHR meaningful use program

The California Medical Association, the American Medical Association and a coalition of medical societies are urging Congress to immediately reform stage 2 of the electronic health record (EHR) meaningful use program, and to delay stage 3. Frustrated with the Center for Medicare and Medicaid Services' (CMS) refusal to fix the program, organized medicine has turned to Congress to make the necessary reforms before meaningful use drives physicians out of the Medicare program. “We are writing to express our strong concerns with the decision by the Obama Administration to move ahead ...

CMS extends Physician Compare preview period

The Centers for Medicare and Medicaid Services (CMS) has extended the Physician Compare preview to November 16, 2015, to allow more time for physicians to preview their data for the 2014 quality measures that will be reported on the Physician Compare website later this year. The Affordable Care Act required CMS to create a website that would allow consumers to search for and compare physicians and other health care professionals who provide Medicare services. That site—the "Physician Compare" website, initially launched in 2010—provides contact information, specialties and clinical training, hospital ...

ORP for Medi-Cal Beneficiaries Must Enroll with DHCS

Under the Affordable Care Act, all providers who order, refer or prescribe (including but not limited to physicians, nurse practitioners and physician assistants) for Medi-Cal beneficiaries must be enrolled in the Medi-Cal program. Previously, providers needed to enroll only if they wished to furnish (and bill for) covered services for Medi-Cal beneficiaries.  If an ordering and/or referring provider (ORP) is not enrolled in Medi-Cal, the "filling providers" (for example, the pharmacy that is filling the patient’s prescription or the specialist you are referring a patient to for treatment) will not ...

New CMS rule changes meaningful use requirements

The Centers for Medicare and Medicaid Services (CMS) this week published new rules for the current and final stages of the electronic health record (EHR) incentive program. In publishing the rule, CMS acknowledged the difficulties physicians have experienced with meeting meaningful use requirements. The regulations announced are intended to ease the reporting burden for providers, support interoperability and improve patient outcomes. While the modified rules for years 2015-2017 are final, the stage 3 portion of the final rules were released with the opportunity for public comment, with the expectation that CMS ...