San Francisco Marin Medical Society Blog

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DHCS to Implement 10% Medi-Cal Cuts in October

The Department of Health Care Services (DHCS) recently announced that it would begin to implement the 10% Medi-Cal physician payment rate reduction on October 1, 2013, for Medi-Cal managed care and on January 9, 2014, for fee for service (FFS). DHCS also announced that it would be retroactively implementing the cuts for FFS providers to June 1, 2011, when the law authorizing the cuts went into effect.

Transition from Healthy Families to Medi-Cal Has Begun

The Department of Health Care Services (DHCS) received federal approval to begin transitioning approximately 860,000 low income children from the Healthy Families program into Medi-Cal Managed Care. Phase 1A of the transition (see schedule below) began on January 1, 2013.

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.