Search Results for: "MCO & HFP"

Showing 1 - 10 of 36 results

Prop 35 Passage Kickstarts Work to Develop, Implement Methodologies to Distribute Funding

What’s happening: On Nov. 5, California voters overwhelmingly approved Proposition (Prop) 35, making an existing tax on managed care organizations (MCO) permanent under state law — and directing most of the revenues toward expanding access to care for Medi-Cal patients through improved provider reimbursement. Now, work by the state, hospitals, and others to determine how these funds should be distributed begins. 

What else to know: While Prop 35 specifies how much funding shall go to several different service categories, it does not set the methodologies for distributing the funds. The ball is now in the Department of Health Care Services’ court to develop these payment methodologies — in consultation with hospitals and other providers, including through a dedicated stakeholder advisory committee.  

Reminder: Hospital Fee Program Invoices Due Nov. 27

This post has been archived and contains information that may be out of date.

What’s happening: On Nov. 27, payments for the 2024 Hospital Fee Program, fee-for-service payment cycle 6, are due to the Department of Health Care Services (DHCS).   

What else to know: DHCS mailed invoices to hospitals on Oct. 28.     

Hospital Fee Program Invoices Due Oct. 23

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What’s happening: Payments for the 2024 Hospital Fee Program, fee-for-service payment cycle 6, are due to the Department of Health Care Services (DHCS) on Oct. 23.   

What else to know: Invoices were mailed to hospitals from DHCS on Sept. 23.     

Hospital Fee Program Invoices Due Sept. 25

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What’s happening: Payments for the 2022 Hospital Fee Program fee-for-service payment cycle 5 are due to the Department of Health Care Services (DHCS) on Sept. 25.   

What else to know: Invoices were mailed to hospitals from DHCS on Sept. 5.     

Hospital Fee Program Invoices Due Aug. 28

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What’s happening: Payments for the 2022 Hospital Fee Program, managed care July-December directed payment cycle, are due to the Department of Health Care Services (DHCS) on Aug. 28.   

What else to know: DHCS mailed invoices to hospitals in July. CHA encourages those at risk of not paying their invoices in full by Aug. 28 to notify DHCS in advance of the due date about any financial hardship.       

Hospital Fee Program Invoices Due July 24

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What’s happening: Invoices for the 2023-24 Hospital Fee Program, fee-for-service cycle 4, were mailed on June 24.  

What else to know: Payments to the Department of Health Care Services (DHCS) are due on July 24.   

State Policymakers Reach a Budget Agreement with Major Implications for Hospitals

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What’s happening: This week, the 2024-25 budget and supporting legislation will be signed by the governor, ensuring the spending plan is in place by July 1, the start of the fiscal year. 

What else to know: The budget includes important changes to the managed care organization (MCO) tax and the health care worker minimum wage, while also having implications for the hospital fee program. 

State Budget Negotiations Continue as Legislature to Submit Its Version of the Budget

This post has been archived and contains information that may be out of date.

What’s happening: The Legislature will send its version of the 2024-25 state budget, possibly addressing the managed care organization (MCO) tax issue, to the governor by the June 15 constitutional deadline.  

What else to know: A key issue to be resolved is whether to restore funding for Medi-Cal providers from the MCO tax with a delay from 2025 to 2026.  

MCO Funding Must be Restored

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California’s Legislature has a little more than a week to finalize the state budget for the coming year — no small task given the multibillion-dollar, multiyear deficit at hand.