Proposition 56 Physicians Supplemental Payment
Overview
This program provides supplemental payments for certain eligible physician services provided to Medi-Cal beneficiaries. The supplemental payments are provided for eligible physician services rendered on or after July 1, 2017. The base rates for these services will remain unchanged.
Providers who are eligible to provide and bill for the following Current Procedural Terminology (CPT) codes will receive the associated supplemental payment identified below, in addition to whatever other payment they receive.
| 99201 | $18.00 | 99381 | $77.00 |
| 99202 | $35.00 | 99382 | $80.00 |
| 99203 | $43.00 | 99383 | $77.00 |
| 99204 | $83.00 | 99384 | $83.00 |
| 99205 | $107.00 | 99385 | $30.00 |
| 99211 | $10.00 | 99391 | $75.00 |
| 99212 | $23.00 | 99392 | $79.00 |
| 99213 | $44.00 | 99393 | $72.00 |
| 99214 | $62.00 | 99394 | $72.00 |
| 99215 | $76.00 | 99395 | $27.00 |
| 90791 | $35.00 | 90863 | $5.00 |
| 90792 | $35.00 | | |
The Centers for Medicare & Medicaid Services (CMS) approved SPA 19-0021 for the continuation of the time-limited supplemental reimbursement program for eligible services provided to Medi-Cal beneficiaries, effective July 1, 2019.
Current Materials
