CAMPS has advocated for the elimination of the Medi-Cal 10% cut from 2011 that had continued for much of DME, medical supplies and enteral formula. The 10% cut had been eliminated for CRT equipment beginning on 1/1/22 and for respiratory equipment and supplies during the PHE and then permanently via the state budget for 2022-23.
Though the Legislature had agreed to eliminate the 10% cut for all remaining provider types and services the Governor had resisted and removed that provision. However, we have learned and confirmed that the 10% was eliminated for all DME.
The 10% cut for all other DME was eliminated as of 7/1/22 and is reflected in a SPA approved by CMS. It is not yet implemented and we will track that process for when the 10% is no longer applied to DME rates. There will then be an EPC for retroactive adjustments to 7/1/22.
This will reduce the fiscal impact of our “budget ask” for this year to be elimination of the 10% on medical supplies and enteral formula. This is a great success for CAMPS and its members but there is still work to be done.
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