Pay-for-Performance: Preventive Services
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The goal of this performance payment is to increase statewide utilization of preventive services for all Medi-Cal members. This performance payment is a flat rate performance payment for each paid preventive oral care service billed by a service office location at 75 percent of the standard procedure payment rate, also known as the Scheduled of Maximum Allowances (SMA) fee. These performance payments are only applicable to specific preventive services Current Dental Terminology (CDT) codes for children and adults. It is available statewide to enrolled Medi-Cal dental providers, which includes Fee-For-Service (FFS) and Dental Managed Care (DMC) providers, and Safety Net Clinics (SNCs) such as Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Indian Health Services (IHS/MOA) Clinics.
Select Preventive Codes
Safety Net Clinic (SNC) Resources for Data Submission
