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TOOLS & RESOURCES > ACP and Medicare

ADVANCE CARE PLANNING: REIMBURSABLE UNDER MEDICARE

Beginning January 1, 2016, Medicare will pay healthcare providers for advance care planning (ACP) discussions with Medicare beneficiaries. Authorization for payment is set forth in the November 2015 Final Rule, published by the Centers for Medicare and Medicaid Services (CMS).

In order to be billable under Medicare, advance care planning discussions must be face-to-face conversations with Medicare patients and/or their surrogates (the patient does not need be present), and cover the patient’s specific health conditions, their options for care and what care best fits their personal wishes, and the importance of sharing those wishes in the form of a written document.

May 15, 2016: Medi-Cal creates codes to allow billing by providers for advance care planning discussions with beneficiaries.

Read more on the website at Coalition for Compassionate Care of California (CCCofC)

Download this FAQ as a handout (PDF): Updated August 2016 (created by the CCCofC)