SFMS/CMA Responds to Ninth Circuit Ruling Vacating Preliminary Injunction for Reimbursement Rate Cuts On Thursday, a three judge panel of the California Ninth Circuit Court of Appeals issued its opinion in CMA et al. v. Douglas et al. The Ninth Circuit panel reversed the district court’s decision and ruled that California can reduce Medi-Cal payments for health care providers by 10%. December 14, 2012 Advocacy, CMA, Medi Cal 10% Medi-Cal cut, CMA et al. v. Douglas et al, Medi-Cal cut, Ninth Circuit Ruling 0 0 Comment Read More »
California’s Dual Eligibles Initiative Under National Spotlight Patient advocates across the nation are closely watching California’s transition of beneficiaries eligible for both Medicare and Medi-Cal from traditional fee-for-service plans to managed care plans. December 6, 2012 Medi Cal, Medicaid, Medicare dual eligible initiative, Dual eligibles 0 0 Comment Read More »
Medi-Cal Requiring Physician Re-enrollment The California Department of Health Care Services (DHCS) will soon be notifying physicians that they must re-enroll in Medi-Cal as one of the provisions of the Affordable Care Act (ACA). The ACA requires every state Medicaid program (Medi-Cal in California) to revalidate provider enrollment information at least every five years beginning January 2, 2013. November 9, 2012 Medi Cal, Medicaid, Physician Resource, SFMS Member Events Medi-Cal provider enrollment, SFMS webinar, DHCS 0 0 Comment Read More »
SFMS Supports Bills to Reinstate Medi-Cal Managed Care Organization Tax and Healthy Families SFMS/CMA support SB 301 (DeSaulnier) and AB 826 (Swanson), which would reinstate the Medi-Cal Managed Care Organization (MCO) Tax and the Healthy Families Program. Both bills have support from Republicans and Democrats in both houses. August 27, 2012 Advocacy, CMA, Medi Cal AB 826, Medi-Cal, SB 301, Healthy Families, MCO tax 0 0 Comment Read More »
Ask the SFMS: Can I Balance Bill My Medi-Medi Patient? SFMS discuss whether physcians can balance bill Medi-Medi (patients who have Medicare as their primary insurance and Medi-Cal as secondary) patient for the 20 percent copay after Medicare pays? July 13, 2012 Medi Cal, Medicare, Payment Ask SFMS, Medi-Medi 0 0 Comment Read More »
