CA SB1150

Limits reimbursement to a maximum of 2 visits per day at a single location for federally qualified health centers (FQHCs) and rural health clinics (RHCs) when a patient has a medical visit and another health visit, or when illness/injury requiring additional treatment occurs after the first visit

Requires FQHCs and RHCs that currently bill multiple encounters with different health professionals on the same day as a single visit to apply for a per-visit rate adjustment by January 1, 2016, and thereafter bill such encounters as separate visits

Directs the Department of Health Care Services to develop forms by July 1, 2015 to determine which facilities' rates require adjustment and to calculate adjusted rates

Requires the department to submit a state plan amendment to the federal Centers for Medicare and Medicaid Services by January 15, 2015 reflecting the new visit reimbursement rules

Specifies that rate adjustments under this provision shall not be considered a change in scope of service and allows facilities to continue billing at existing rates pending rate adjustment approval