Reimbursement update for Outdated Language

Updates existing policy on the minimum utilization percentage and therapy leave days for psychiatric residential treatment facilities (PRTF).

increases the payment rates for vision screening codes

increases the payment rates for Long-Acting Reversible Contraception (LARC) administration and insertion codes effective January 1, 2020

requests a two-year extension of the previously approved exception to renew the Recovery Audit Contractor (RAC)

Revises the educational requirements for behavioral health professionals providing children’s home- and community-based treatment

updates the Attachment 4.19-B pages to account for new, amended,
and/or deleted Healthcare Common Procedure Code System Codes

Updates the allowance for a 3.1% increase in rates to Family Centered Early Supports and Services (ESS), the Division of Children, Youth, and Family (DCYF) Private Non-Medical Institutions (PNMI), and other DCYF services

Updates the allowance for a 3.1% increase to Home and Community Based Care for High Risk Children with Severe Emotional Disturbance rates

Adjusts the Medi-Cal Fee-for-Service (FFS) reimbursement rates for Durable Medical Equipment (DME) services using the Medicare rural fee schedule for DME, Prosthetics, Orthotics, and Supplies