Medi-Cal Provider Call Monday, January 21
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HHP is hosting a Medi-Cal provider call this Monday, January 21 at 6:00 pm. The call is to provide an update on recent efforts and to discuss further actions to challenge the Medi-Cal hearing aid reimbursement policy change that took effect January 15. All Medi-Cal providers dispensing hearing aid devices are invited to participate. Please feel free to forward this invitation to any provider that would like to help.
The Hearing Aid Dispensing and Audiology community are concerned that the new reimbursement rates will limit access to Medi-Cal hearing aids across the state. Many providers have signaled they can no longer afford to remain in the program. Therefore, we providers must continue efforts to get through to DHCS and legislators to educate all stakeholders of the consequences of this policy change and to educate on the value of our services.
Date: Monday, January 21
Time: 6:00 - 7:00 PM
Dial: 877-394-5901
Access Code: 5203610
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Hearing Aid Reimbursement Police Change
December 14, 2012
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Effective for dates of service on or after January 15, 2013, the Department of Health Care Services (DHCS) is revising the reimbursement policy for hearing aid codes. DHCS is changing the definition of "one unit wholesale cost."
The existing definition is: The "unit price" or the "single unit price" as identified in the manufacturer's wholesale catalog not including rebates, discounts, taxes or any other factors.
The new definition is: The "unit price" or the "single unit price" as identified in the manufacturer's wholesale catalog, less rebates, discounts, or other reductions in price and not including taxes.
The amended definition is issued pursuant to Welfare and Institution Code (W&I Code), Section 14105.49, which allows DHCS to implement the change by provider manual or bulletin. DHCS is implementing this revised reimbursement policy following significant analysis and review of stakeholder feedback.
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