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NYCU September 25, 2018

Paul HegyiPHYSICIANS: I'm gratified to be able to share some excellent news. The California Department of Health Services (DHCS) recently received federal approval on its plan to increase Medi-Cal fee-for-service physician payments for the 2018-19 fiscal year. According to DHCS, the prospective fee-for-service supplemental payments are anticipated to begin as soon as this week. The supplemental payments are made possible by the Proposition 56 tobacco tax funding and will raise payments for a total of 23 CPT codes, including 10 new preventive CPT codes.
The California Medical Association has been working closely with DHCS to move Prop. 56 tobacco tax funds to Medi-Cal providers, resulting in reimbursement rates now at roughly 100% of Medicare rates for preventive services and 85% of Medicare for office visits – an amazing $1 billion increase.

This has been a top priority for CMA and SDCMS and it represents a major victory for CMA and its members. There is no better example of the difference that your support and engagement with CMA and SDCMS makes than this dramatic change in Medi-Cal rates. I look forward to working with you to achieve other significant victories in the next year for our members and their patients.

As always, let me know if you have any questions!  Paul Hegyi, CEO
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