Medi-Cal dental reimbursement: house/extended care facility call.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to increase the amount Medi-Cal pays dental providers for visits to patients in their homes or extended care facilities. Currently, the reimbursement for these calls is limited to $20. The bill would raise the base rate to a minimum of $120 per patient per visit, with adjustments every two years to account for inflation and provider costs. The department will also report to the legislature on how these changes affect access to dental care and emergency room visits related to dental issues.
Key provisions
- Increases Medi-Cal reimbursement for house/extended care facility dental calls.
- Sets a minimum reimbursement rate of $120 per patient per date of service.
- Requires annual readjustments of the rate to account for inflation and provider costs.
- Mandates a report to the Legislature every two years on the impact of the rate changes.
- Allows the department to implement the changes through provider bulletins and plan letters.
- Requires an appropriation, federal approvals, and federal financial participation for implementation.
Who is affected
- Medi-Cal recipients
- Dental providers
- Low-income individuals
- Extended care facilities
- Patients receiving dental care at home
Notable changes
- Increases the current reimbursement rate for house/extended care facility dental calls.
Bill text
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Sponsors
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1 on record
Primary sponsor
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