The Hospital Quality Assurance Fee (HQAF) Program and all of its statutory provisions were made permanent through the passage of CHA’s ballot initiative, the Medi-Cal Funding and Accountability Act (Proposition 52), in the November 2016 general election. While this provides the framework for all future hospital fee programs, future iterations must adhere to federal regulations related to health-care provider taxes. Further, the Department of Health Care Services (DHCS) must obtain all necessary federal approvals.
For each hospital fee program, the Centers for Medicare & Medicaid Services (CMS) must approve:
The provider tax waiver, which covers the fee structure used to support the non-federal share of Medi-Cal supplemental payments
Medi-Cal fee-for-service (FFS) state plan amendments, which cover the FFS supplemental payments
Medi-Cal managed care rates and contracts, which cover the managed care supplemental payments
While some federal approvals (e.g., provider tax waiver, FFS state plan amendments) cover the entire hospital fee program, others require review/approval on an annual basis (e.g. managed care rates/contracts). Included below are the hospital fee program federal approvals received to date, for the programs beginning on or after January 2014.
What’s happening: On May 19 from 10 a.m. to 3 p.m. (PT), the Proposition (Prop) 35 “Protect Access to Health Care Act” Stakeholder Advisory Committee will hold its second meeting at the Department of Health Care Services (DHCS) in Sacramento. This meeting is open to the public, and registration for virtual attendance is open.
Mandatory Neurodegenerative Disease Reporting Begins July 1
What’s happening: Starting July 1, providers diagnosing or treating patients with neurodegenerative diseases — such as Alzheimer’s, multiple sclerosis, or Parkinson’s — are required to report each case to the California Neurodegenerative Disease Registry, run by the California Department of Public Health (CDPH).
HCAI Webinar to Offer Effective HVAC Alarm Management Strategies
What’s happening: On May 13, the California Department of Health Care Access and Information (HCAI) will host a webinar on effective alarm management for heating, ventilation, and air conditioning (HVAC) systems.
OHCA’s Work Will ‘Devastate Hospitals,’ Lawmakers Tell HCAI Director
What’s happening: Last week, members of the Senate subcommittee that oversees the Office of Health Care Affordability’s (OHCA’s) budget expressed deep concern with the agency’s work. Committee Chair Sen. Akilah Weber Pierson (D-San Diego) noted that, “At the end of the day, something has to give. Either [the hospitals] won’t make it and be penalized, or they have to cut services — and either way, the people who will pay are the patients.”
What’s happening: By Sept. 30, California hospitals are required to submit detailed health equity reports under Assembly Bill 1204 (2021) — a process that is daunting and tedious, with dozens of measures and hundreds of required fields. The Hospital Quality Institute (HQI) can help.
DHCS Updates Community Services and Supports Guide
What’s happening: The Department of Health Care Services’ (DHCS’) revised Community Supports Policy Guide reflects extensive feedback from managed care plans, providers, and other stakeholders.
2025 Emergency Services Forum Focuses on Behavioral Health
What’s happening: Earlier this week, emergency care professionals from across California gathered in Newport Beach for a high-impact day of learning, storytelling, and collaborative problem-solving.
What’s happening: Payments for the Hospital Quality Assurance Fee program 8 fee-for-service were due to the Department of Health Care Services (DHCS) on May 7.
Hospital Leaders Take Message on Threats to Medicaid, Medicare to Capitol Hill
What’s happening: As part of the American Hospital Association Annual Meeting held in Washington, D.C., this week, California hospital and health system leaders participated in more than 20 meetings with the California congressional delegation.
Every Hospital Has a Story, Because Every Patient Has a Story
Every spring for the past 50 years, the nation has come together to recognize the special place hospitals hold in their communities — the lives they save, the families they support, the unimaginable challenges they help people face and conquer, year after year.
