Value-Based Payment Program Update

The Alliance was notified that the Department of Health Care Services (DHCS) Value-Based Payment (VBP) program, funded through Proposition 56, has ended effective June 30, 2022. The VBP program was designed to provide incentive payments to qualifying providers for meeting specific measures in prenatal/postpartum care, early childhood preventive care, chronic disease management, and behavioral care to improve care for certain high-cost or high-need populations. Services performed after June 30, 2022 will not be eligible to receive VBP enhanced payments. Claims for VBP services received up to one year after the date of service will continue to be paid if the date of service for the claim was by June 30, 2022. An update to the All Plan Letter will be released by DHCS to reflect the program end date of June 30, 2022.