November 07, 2018
Area(s) of Interest: Practice Management
The California Health Care, Research and Prevention Tobacco Tax Act of 2016 (Prop. 56) created new revenues dedicated to the Medi-Cal program. Physicians receive supplemental payments in both fee-for-service and Medi-Cal managed care when providing Medi-Cal services under certain CPT codes. A total of $325 million was allocated for physician payments in the budget for 2017-18, with $488 million proposed for 2018-19.
To help physician practices monitor their Prop 56 supplemental payments, the California Medical Association (CMA) has published a Prop. 56 Payment Monitoring Worksheet. The worksheet will automatically calculate the supplemental payment amount by CPT code so you can ensure that you are receiving your share of the supplemental tobacco tax money.
The worksheet is available free to CMA members at cmadocs.org/prop56.