Announcements

  • Rate increases and benefit restoration for Denti-Cal program

    The Department of Health Care Services on June 30 announced hundreds of procedure codes will receive a 40 percent supplemental rate increase as the result of Proposition 56, the tobacco tax measure sponsored and supported by CDA and approved by voters last November. Over $1 billion of the tobacco tax revenue is allocated to improved payments to physicians and dentists who treat Medi-Cal patients, with an unprecedented $140 million dollars allotted for dentists. If approved by the federal Centers for Medicare and Medicaid Services, anticipated federal matching dollars will bring up to $350 million in supplemental payments to dentists who treat Medi-Cal beneficiaries.

    DHCS has proposed supplemental payments of 40 percent above the Schedule of Maximum Allowances on hundreds of CDT codes across several categories including restorative, endodontic, prosthodontics, surgical and adjunctive services.