For the first time since the COVID-19 pandemic began, California has resumed its normal process to predetermine eligibility for Medi-cal enrollees starting April 2023. The first Medi-cal discontinuances will occur July 1, 2023. Physicians need to be aware of this so that practices can stay vigilant in verifying eligibility for their Medi-cal patients come July or risk non-payment for out of network services. Additionally, for physicians that have capitated contracts, it is estimated that up to 2 million beneficiaries may lose coverage during the next year, which will impact practice's capitated payment. If you missed the webinar last week on this topic presented by Blue Shield Promise Health plan, we've attached the slides for your reference.
Blue Shield Promise Webinar Slides
DHCS Medi-cal Continuous Unwinding Webinar Slides