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Updates existing language for EPSDT prevention and and wellness services to be consistent with the Essential Health Benefit 09 description in the Alternative Benefit Plan.
Allows registered dental hygienists , registered dental hygienists in extended functions and registered dental hygienists in alternative practice to enroll as Medi-Cal dental program billing providers.
Updates the DRG exclusion for Long Term Care and Rehabilitation Hospital Facilities to include newly posted rates. (See SPA 15-009) and adds a policy adjustor to DRG claims to account for the cost of high-acuity pediatric cases.
Suspend the current provisions governing nursing facility payments in order to ensure that the rates in effect do not increase for the state fiscal year 2016 rating period.