CHA News

DHCS Releases Final Guidance on Network Provider Status

Last week, the Department of Health Care Services (DHCS) issued its final All Plan Letter (APL) 19-001, specifying contractual requirements that must exist between Medi-Cal managed care plans (MCPs) and hospitals for a hospital to be considered a network provider.

Hospital Fee Program Payments Will Be Nearly 100% of Modeled Amounts

Earlier this month, the Department of Health Care Services (DHCS) sent hospitals invoices covering fee-for-service cycle 8 of the 2017-19 Hospital Fee Program. The cycle eight invoice covers Oct. 1, 2018-Dec. 31, 2018, and was due Jan. 2. DHCS collected enough fees to pay nearly 100 percent of the modeled cycle eight Medi-Cal fee-for-service payments, and will issue payments to providers on Jan. 21.

Authors
  • Ryan Witz
    Vice President, Health Care Finance Initiatives
  • Amber Ott
    Senior Vice President, Data Analytics