Medi-Cal Managed Care - Dual Eligible Pilot Project

Dual Eligible MOU with CMS

Special Needs Plan

W&I Code Section 14132.275

CMS Core Survey Materials Posted on CMS ESRD Website

Mandatory Payment Reductions in the Medicare Fee-for-Service (FFS) Program - Sequestration

CMS Hosts Open Door Forum for ESRD QIP Payment Year 2015 Final Rule

CMS Rescinding Medicare Overpayments for Beneficiaries Determined to be Unlawfully Present in the United States

Federal Court Upholds 2011 Medi-Cal Cuts: Read the Decision

CMS Releases Final PPS and QIP Rule

Revision to Billing for Acute Dialysis in Hospitals

Update to Physician-Administered Drug reimbursement rates

Physician-Administered Drug changes to reimbursement rates

Update to SB 1318 - Flu/Mask bill

ESRD Low Volume Payment Adjustment Attestation due 11/1/2012 in order to qualify for the adjustment for CY 2013.

Medi-Cal Dual Eligible Demonstration Project: ESRD Exclusion Obtained

View SB 1008, budget trailer bill on Medi-Cal

View the bill analysis

ESRD Patients to be Exempted from Dually Eligibles Demonstration

View the Email

View the Attachment

ESRD Prospective Payment System FY2012 PC Pricer Released

California Budget Update

Palmetto GBA Email Updates

Medi-Cal 4-County Pilot Project to Shift Dual Elligibles

DCHS Stakeholder Communication Update

Fiscal Year 2011-2012 Medi-Cal Institutional Provider Payment Hold  

Medi-Cal 5010 NCPDP Enhancement Update  

AB 97 Litigation Update  

Medi-Cal Payment Reductions ~ A notice was posted on the Medi-Cal Provider website regarding Medi-Cal provider payment reductions. 

CMS released the Interim Final Rule for the transition adjuster.  It revises the transition adjuster to 0%, effectively eliminating it.

The Centers for Medicare & Medicaid Services has released the long-awaited proposed rules for Accountable Care Organizations (ACOs)