Proposition 56 - Developmental Screening Services
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Directed Payments - Proposition 56
The California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Proposition 56), passed by the voters in November 2016, increased the excise tax rate on cigarettes and electronic cigarettes, effective April 1, 2017, and other tobacco products effective July 1, 2017. The excise tax increased to $2.87 per pack of 20 cigarettes on distributors selling cigarettes in California with an equivalent excise tax rate increase on other tobacco products.
Beginning with the July 1, 2019 rating period, the state has directed Managed Care Plans (MCPs) to make enhanced supplemental payments to eligible provider types for the applicable CPT code upon approval from CMS and receipt of funding. The Budget Act of 2021 authorized continued funding for developmental screening services payments past the December 31, 2021 sunset date. In addition, beginning July 1, 2022, the Budget Act of 2021 changed the source of the nonfederal share of the directed payments for developmental screenings to the state General Fund. Pursuant to State Plan Amendment (SPA) 21-0045, the developmental screening services program will become a benefit, and will no longer by funded by Proposition 56. The enhanced directed payment is contingent upon the MCPs' receipt of the providers' actual utilization for these codes reported through encounter data for SFY 2019-2020 through CY 2023.
Please see the links to the supporting documentation for this program for each rating period:
Bridge Period (July 1, 2019 – December 31, 2020)*
CY 2021
CY 2022
Resources
*The effective data of the Developmental Screenings program was January 1, 2020, during the Bridge Period.
