Providers Eligible for Medi-Cal Payment
Qualifying ACE screenings are eligible for payment in any clinical setting in which billing occurs through Medi-Cal fee-for-service or to a network provider of a managed care plan. For services provided on or after January 1, 2020, the following enrolled Medi-Cal provider types are eligible to receive payment:
- Certified Nurse Midwife
- Certified Nurse Practitioner
- Group Certified Nurse Practitioners
- Early and Periodic Screening, Diagnostic, and Treatment Services Providers
- Licensed Clinical Social Worker – Individual, Group
- Licensed Nurse Midwife
- Licensed Professional Clinical Counselor – Individual, Group
- Marriage and Family Therapist – Individual, Group
- Physician
- Physician Group
- Psychologist
- County Hospital – Outpatient
- County Clinics not associated with a Hospital
- Indian Health Services (IHS)/Memorandum of Agreement
- Otherwise Undesignated Clinic
- Outpatient Heroin Detox Center
- Rehabilitation Clinic
- Rural Health Clinic (RHC)/Federally Qualified Health Center (FQHC)
- In-state and border providers
To receive payment through Medi-Cal managed care, the provider also needs to be a network provider of a Medi-Cal managed care health plan billing for services provided to a member of that health plan.