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DHCS issues final telehealth policy

Wed, 11 Dec 2019

In August 2019, the Department of Health Care Services (DHCS) issued its final telehealth policy.

UnitedHealthcare to launch dual special needs plans in several counties

Wed, 11 Dec 2019

UnitedHealthcare Community Plan of California recently announced the launch of its new Medicare Advantage plan, UnitedHealthcare Dual Complete ® (HMO D-SNP), in Alameda, Fresno, Kings and Madera counties beginning January 1, 2020.

OptumRx home delivery pharmacy to require e-prescribing for controlled substances effective January 1, 2020

Wed, 11 Dec 2019

OptumRx, the pharmacy benefit provider for UnitedHealthcare, will require e-prescriptions for opioids and all other controlled substances for its home delivery pharmacy service effective January 1, 2020.

Coding Corner: Three areas to consider when reporting a PA as an assistant surgeon

Tue, 10 Dec 2019

Medicare and other payors may provide extra payment when a procedure requires an assistant surgeon. But any time additional payment is involved, you’ve got to be sure you understand the rules and comply with them

CA launches first-of-its-kind ACEs initiative; Beginning Jan. 1, 2020, Medi-Cal will begin paying for ACEs screenings

Tue, 10 Dec 2019

Called the ACEs Aware initiative, it is a first-of-its-kind statewide effort for California health care providers to screen patients for Adverse Childhood Experiences (ACEs) that increase the likelihood of ACE-associated health conditions due to toxic stress.

CMA warns new surprise billing proposal would limit patient access to in-network physicians and increase costs

Tue, 10 Dec 2019

CMA President Peter Bretan, M.D., issued the following statement on the Senate HELP and House E&C Committee surprise billing proposal.

Preparing for 2020: Verify your patients’ eligibility and benefits

Fri, 06 Dec 2019

As the current year ends, physicians are urged verify patients' eligibility and benefits for 2020 to ensure they will be paid for services rendered.

Reminder: Two important Medicare deadlines coming December 31 

Fri, 06 Dec 2019

December 31, 2019, is the last day to make changes to their Medicare participation status for 2020 as well as to finalize the transition to the new MBI number

CMA publishes guide to help physicians prepare for Covered CA changes in 2020

Fri, 06 Dec 2019

CMA has  published a new tip sheet, “Surviving Covered California: Preparing for changes in 2020.”

On Demand Webinar: Proposition 56 Funds—What's New for FY 19-20 and Beyond

Fri, 06 Dec 2019

CMA recently hosted a webinar examining the supplemental Medi-Cal payments made possible by the Proposition 56 tobacco tax funding – including how to ensure you’re getting your fair share.