Proposition 56 supplemental payments

In November 2016, voters approved the California Healthcare, Research and Prevention Tobacco Tax Act (known as Proposition 56) which increased the excise tax rate on cigarettes and tobacco products. As a result, Assembly Bill No.120 was passed in 2017 to appropriate Proposition 56 funds for specified Department of Health Care Services (DHCS) healthcare expenditures.

Since 2017, DHCS has issued several All Plan Letters (APLs) to govern the distribution of Proposition 56 funds, mainly as supplemental payments to providers and facilities. Each APL contains specific information regarding covered services, program effective dates, funding amounts, qualification requirements, and guidelines for these payments.

APL 19-013 (PDF, 73KB)
Proposition 56 Hyde reimbursement requirements for specified services
APL 19-015 (PDF, 98KB)
Proposition 56 directed payments for physician services (supersedes APL 19-006)
APL 19-016 (PDF, 93KB)
Proposition 56 directed Payments for developmental screening services
APL 19-018 (PDF, 91KB)
Proposition 56 directed payments for adverse childhood experiences screening services
APL 20-013 (PDF, 103KB)
Proposition 56 directed payments for family planning services
APL 20-014 (PDF, 151KB)
Proposition 56 value-based payment program directed payments

 

Frequently asked questions

Additional information

Proposition 56 provider notification (PDF, 133 KB)

Contact us

  Email:Prop56Inquiries@blueshieldca.com

Provider dispute resolution policy and procedures

Communicate your questions and concerns to Blue Shield Promise and learn how to appeal or dispute a claim payment.

Review our provider dispute resolution process

All Plan Letter summaries

See what guidelines and requirements have been posted in the latest Department of Health Care Services All Plan Letters (APLs).

Learn about APLs

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Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal Government contract in California. Enrollment in Blue Shield of California Promise Health Plan depends on contract renewal.

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