The Alliance covers Adverse Childhood Experiences (ACEs) trauma screenings on an ongoing basis for all Alliance Medi-Cal members up to 65 years of age.

For more information regarding the Medi-Cal ACEs Trauma Screening benefit, please click here.

Beginning Wednesday, July 1, 2020, providers must attest to completing certified ACEs training on the DHCS website to continue receiving directed payments. To access ACEs training information, please click here.

Providers must utilize the required screening tools and HCPCS codes to be eligible for payment. Providers must also document all of the required elements such as the completed screening tool, results, discussion, and actions taken. This documentation must remain in the member’s medical record and be available upon request.

To view the Prop 56 DHCS All Plan Letter for Fiscal Year 2018-2019 regarding ACEs Trauma Screening, please click here.

Providers are eligible for reimbursement for developmental screenings as medically necessary when risk is identified, under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit.

Providers must meet the developmental screening requirements and comply with AAP/Bright Futures periodicity schedules and guidelines to be eligible for payment. This includes utilizing a standardized tool to meet all of the four elements of the CMS criteria as listed in the DHCS APL.

To view the Proposition 56 DHCS All Plan Letter regarding Developmental Screenings, please click here.

Prop 56 funding has allowed the state to provide directed payments for physician services delivered to Medi-Cal patients. The supplemental payments include several eligible procedure codes. Such as office visits, evaluations, and preventative services to name a few.

To learn more about qualifying services and Prop 56 Supplemental Payments for Physician Services, please click here.

The Prop 56 Family Planning Services provides funds to support family planning services for Medi-Cal beneficiaries. This directed payment program is intended to enhance the quality of patient care by ensuring that Providers in California who offer family planning services receive enhanced payment for their delivery of family planning services.

To learn more about the Proposition 56 Family Planning Services, please click here.