April 13, 2015
Area(s) of Interest: Payor Issues and Reimbursement Practice Management Public Payors
The California Department of Health Care Services (DHCS) has experienced various difficulties issuing the Affordable Care Act (ACA) primary care rate increase funds on Child Health and Disability Prevention (CHDP) Program claims.
Most recently, the California Medical Association learned that CHDP providers practicing as part of a group would be required to re-attest as a group to get paid. Previously, physicians had been instructed to only attest as individuals.
DHCS issued an updated “NewsFlash” on March 30 to explain the additional steps that will be required. Groups and clinics that have not already attested and submitted usual, customary and reasonable (UCR) data must do so on behalf of eligible providers in order to receive the payment increase. If you have already received increased CHDP payments, you do not need to take any further action.
The attestation period and final day to add or update the UCR charges for the ACA rate increase is April 17, 2015.
The extension does not apply to individual CHDP providers and was granted solely to CHDP group providers who have not already successfully attested on behalf of their individual providers.