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San Joaquin County: intermittent-clinic strategy preserved parent Medi-Cal PPS rates, staff to reassess in 2026 plan
Summary
County clinic staff reported that designating co-located sites as "intermittent clinics" aligned those sites under parent Medi-Cal PPS rates, preserving higher reimbursement levels and reducing dilution; staff reported an estimated 8.3% alignment increase after implementation and said they will reassess finances and operations in the 2026'2028 strategic plan.
San Joaquin County health clinics staff told the clinics board on Oct. 27 that the county's intermittent-clinic strategy preserved parent-site Medi-Cal Prospective Payment System (PPS) reimbursement and reduced the risk of rate dilution during expansion. The presentation traced the strategy from planning in November 2021 to implementation on 09/09/2024 and outlined next steps for a financial and operational reassessment.
The presenter defined an intermittent clinic as a site operated by a licensed primary-care clinic that is open fewer than 40 hours per week, is exempt from a separate licensure process and inherits the parent clinic's Medi-Cal PPS rate. "Intermittent clinics expand services,…
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