Services	Supplemental Payment Description	Codes	Type of Payment	DHCS Links
Physician Services	Supplemental payment for qualified network providers (excluding FQHCs, RHC/IHCs and Cost-Based Reimbursement Clinics and members dually eligible for Medi-Cal and Medicare Part B, regardless of enrollment in Medicare Part A or Part D).	99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99381,99382, 99383,99384,99385,99391, 99392, 99393,99394,99395, 90791, 90792, 90863	Prop 56	Click here to learn more
HYDE (Abortion)	Supplemental payment for abortion services rendered by qualified providers (in OR out of network) who are eligible to provide and bill for eligible CPT codes will receive an associated supplemental payment in order to bring their payment total to the amount identified in the APL.	59840 , 59841	Prop 56	Click here to learn more
FPACT	Supplemental payment for qualified network providers (excluding FQHCs, RHC/IHCs and Cost-Based Reimbursement Clinics and members dually eligible for Medi-Cal and Medicare Part B, regardless of enrollment in Medicare Part A or Part D).	99201, 99202, 99203, 99204,	Prop 56	Click here to learn more
Family Planning	Supplemental payment to providers qualified to offer family planning services for specific family planning procedure codes.	J7296, J7297,J7298 , J7300, J7301, J7307, J3490, J7303, J7304, J3490, J3490, 11976, 11981, 58300, 58301, 81025, 55250, 58340, 58555, 58565, 58600, 58615, 58661, 58670, 58671, 58700	Prop 56
Developmental Screening	Supplemental payments for developmental screenings provided in accordance with AAP/Bright Futures guidelines.	96110	Prop 56	Click here to learn more
Adverse Childhood Experiences Screening	ACEs screening evaluates children and adults for trauma which occurred from ages 0 to 18. There are age appropriate screening tools available; the ACEs questionnaire for adult members 18 years and older and Pediatric ACEs and Related Life-events Screener (PEARLS) for patients under the age of 18.	G9919 , G9920	Prop 56	Click here to learn more