July 03, 2024
On January 1, 2024, the first phase of Medi-Cal provider rate increases took effect as a result of the 2023-24 budget...
March 06, 2024
As Congress prepares to pass legislation that reverses only half of the Medicare physician payment cut implemented on J...
January 08, 2024
On January 1, 2024, a 3.37% Medicare physician payment cut took effect due to budget neutrality rules. But it is not to...
January 03, 2024
Physicians are reminded that California’s new Medi-Cal managed care contracts took effect on January 1, 2024. As a re...
December 22, 2023
DHCS recently announced that Merck’s new commercial Lagevrio (molnupiravir) COVID-19 anti-viral drug is now a covered M...
December 12, 2023
Starting January 1, 2024, the largest Medi-Cal provider rate increase in California history will begin to go into effec...
Join us for a webinar on January 9, 2024, to hear from CMS Regional Chief Medical Officer Ashby Wolfe, M.D., who will ...
October 03, 2023
The American Medical Association (AMA) has contracted with Mathematica, an independent research company, to conduct the...
August 08, 2023
The need for Congress to act quickly and decisively to fix a broken Medicare payment system cannot be overstated. The f...
July 21, 2022
DHCS has elected to postpone implementation of Medi-Cal Rx Reject Code 80, despite recently announcing it would be incl...
July 18, 2022
Due to a confluence of statutory payment cuts, lack of inflationary updates, significant administrative burdens and fis...
June 28, 2022
DHCS recently announced that it would soon begin reinstating pharmacy claim edits and prior authorization requirement...
December 22, 2020
Physicians who are participating in the Merit-Based Incentive Payment System (MIPS) should take note of these important...
CMA's Center for Economic Services has published updated profiles on each of the major payors in California.
December 18, 2020
On Friday, December 18, the Department of Health Care Services (DHCS) announced its plan for reimbursement of the admin...
December 17, 2020
Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status. Due...
December 15, 2020
Friday evening, a new bipartisan, bicameral proposal to address surprise medical billing—The No Surprises Act—was intro...
In 2018, Congress passed the SUPPORT Act— the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treat...
December 09, 2020
CMA is urging physicians to contact their members of Congress to ask that they take immediate action to ensure the stab...
December 02, 2020
CMS on Tuesday released the final 2021 Medicare Physician Payment Schedule.
November 17, 2020
In an effort to ensure a smooth transition amid the ongoing COVID-19 pandemic, DHCS announced its decision to delay the...
August 25, 2020
HHS is again extending the deadline for physicians to apply for the Provider Relief Fund for both Medicare and Medicaid...
July 07, 2020
On Wednesday, June 10, 2020, HHS opened a new “Medicaid Targeted Distribution” portal through which Medicaid-dependen...
February 12, 2020
Noridian, the California Medicare contractor, has recently advised that it will begin reprocessing claims impacted by...
January 22, 2020
Physicians are reminded that the open enrollment period for Covered California ends on January 31, with coverage effect...
January 21, 2020
DHCS, in partnership with the California Office of the Surgeon General, is creating a first-in-the-nation statewide eff...
January 17, 2020
California’s 2019-2020 fiscal year budget contained significant new funding for new programs including the value-based ...
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