Weekly Roundup: In Case You Missed It

January 6, 2023

Medi-Cal Managed Care Transition: What You Need to Know

All patients in Alameda and Contra Costa counties who are dually covered by both Medicare and Medi-Cal (known as “dual eligible” or “Medi-Medi” patients) and were covered by Medi-Cal fee-for-service (FFS) in 2022 have been enrolled in a Medi-Cal managed care plan as of January 1, 2023. This change has no impact on Medicare coverage or reimbursement rates; this change only applies to the Medi-Cal component of coverage for dual eligible patients. The claims submission process and reimbursement are expected to remain unchanged. ACCMA developed a presentation in collaboration with DHCS to further answer your questions. CMA is also hosting a webinar on January 12 at 12:15 pm.

Informational Webinar on CalHealthCares Loan Repayment Program

The next application cycle of the CalHealthCares Loan Repayment Program opens January 18. CalHealthCares provides loan repayment on educational debt for California physicians and dentists who provide care to Medi-Cal patients. Eligible physicians can apply for a loan repayment award of up to $300,000 in exchange for a five-year service obligation. Attend the informational webinar next Friday, January 13 at noon to get your questions answered before the application opens. 

Navigating Covered California in 2023

CMA published a guide to help you navigate Covered California changes going into the new year. The guide reviews plan and product changes, understanding participation status in the plans offered in your area and knowing which provider network is tied to those products, the primary care physician agreement, and more.

Low Volume Prescribers Can Now Request E-Prescribing Exemption

Under AB 852, physicians are exempt from the e-prescribing mandate if they meet one of the following criteria: issue 100 prescriptions or less in a year; are practicing in an area affected by natural disaster, officially declared disaster or emergency zone; or are granted a waiver based on other extraordinary circumstances. You must register with the California Board of Pharmacy to claim this exemption.

Deadline to Sign Data Sharing Agreement is Approaching


CalHHS has opened its new online portal to allow practices to sign California’s Data Sharing Agreement (as part of the state’s new Data Exchange Framework). Under state law, physician practices and medical groups are required to sign a template Data Sharing Agreement by January 31. Signing the agreement is the first step in complying with the new framework. Click here to access a fact sheet and an on demand webinar on the Data Exchange Framework. 

Physicians Must Notify Patients of the Open Payments Database

AB 1278 took effect January 1 and requires California physicians to provide patients with a written or electronic notice about the availability of the federal Open Payments database. It also requires physicians to post in their offices and on their websites a notice informing visitors about the Open Payments database, which can be used to search payments made by drug and medical device companies to physicians, physician assistants, advanced practice nurses and teaching hospitals.

Download a sample notice for distribution
Download a sample notice to post in your office

Quality Payment Program Exceptions: MIPS EUC Deadline Extended

CMS has extended the deadline to file a 2022 MIPS Extreme and Uncontrollable Circumstances (EUC) hardship extension until March 3, 2023. The original deadline was Jan 3, 2023. If physicians feel they have been impacted by the COVID-19 pandemic in 2022 they may file a MIPS hardship exemption with CMS to avoid a 2024 MIPS penalty. 

Guide to Managing Requests for Medical Records

The Medical Practice’s Quick Action Guide to Releasing Patient Records, an educational guide from CAP, provides recommendations for responding to medical records requests from patients and other sources like subpoenas, attorney’s letters, law enforcement, or regulatory agencies. This resource also includes guidance for special confidentiality requirements, allowable copy fees, and medical records retention. 


Virtual Grand Rounds: Updates on RSV and COVID-19 

Tuesday, January 10 | 12:00 to 1:00 pm 

Free | Hosted by CMA 


Receive an epidemiology update regarding respiratory syncytial virus (RSV) and COVID-19 from Erica Pan, MD, MPH, California State Epidemiologist and Deputy Director, CDPH Center of Infectious Diseases, and Michael Vollmer, MD, Regional Hospital Epidemiologist and Co-chair of Infection Prevention Committee for Kaiser Permanente, Northern California. 


Register here

2023 Health Care Transitions for Patients with Medicare and Medi-Cal

Thursday, January 12 | 12:15 to 1:15 pm 

Free for all | Hosted by CMA 


According to DHCS, the transition to Medi-Cal managed care will increase the level of care coordination and support offered to dual eligibles, while maintaining beneficiary choice for Medicare providers and plans. The transition will only impact dual eligible beneficiaries – individuals with both Medicare and Medi-Cal – not already enrolled in Medi-Cal managed care. Learn more in this webinar, where DHCS staff will provide an overview and answer questions about the dual eligible beneficiaries transition to Medi-Cal managed care. 


Register here

The Future of Telehealth 

Tuesday, January 17 | 12:15 to 1:15 pm 

Free for members | Hosted by CMA 


During the COVID-19 pandemic, many practices implemented telehealth for the first time. Now, physicians and their patients are starting to think about what happens to telehealth if and when the public health emergency comes to an end. Recent developments at the state and federal level are bringing the future into focus. Join David Ford, CMA Vice President of Health Information Technology, to hear more about the future of telehealth. David is a nationally recognized health information technology expert. He develops CMA's thought leadership in all aspects of health IT, including electronic health records, health information exchange and telehealth. 


Register here

CPT® Capstone Webinar: Understanding the CPT Code Set and its Place in Medicine 

Wednesday, January 18 | 10:00 am to 12:00 pm 

Hosted by the American Medical Association | Free 


One of the keys to success for an evolving healthcare system is ensuring that the experience and voice of the physician remain at the center of the codes used to characterize and describe their work: Current Procedural Terminology (CPT®). This webinar will help you understand how these codes respond to changes in the healthcare landscape, spark and spur innovation, and serve to advance health equity efforts. Specifically, you’ll learn how the CPT process works, from the CPT Editorial Panel through the participation of specialty societies and workgroups; and how you and your society can get involved to strengthen the collective voice of the CPT code set and its development process, now and in the future. 


Register here.

ACCMA's On-Demand Library

To access all on-demand programs, go to https://www.pathlms.com/medical-society/courses 



Please contact ACCMA at 510-654-5383 or accma@accma.orgwith any questions or concerns you have.