Beginning Feb. 23, the Department of Health Care Services (DHCS) will implement a new fee-for-service reimbursement methodology for covered outpatient drugs. The methodology will reimburse the lower of the actual acquisition cost (as determined by the Centers for Medicare & Medicaid Services), the federal upper limit, the maximum allowable ingredient cost, and the pharmacy’s usual and customary charge. For more details about the changes, visit the DHCS website.
As shared previously in CHA News, the California Health Facilities Financing Authority (CHFFA) will host a webinar to address implementation of the Children’s Hospital Bond Act of 2018 on Feb. 5.
This week, Physicians for a Healthy California announced 73 awards totaling $38 million in the inaugural cycle of its CalMedForce Program, which provides funding for graduate medical education programs in California.
The Department of Veterans Affairs (VA) has proposed access standards under the new Veterans Community Care Program, as required by the MISSION Act of 2018. The VA also issued a proposed rule that establishes a new benefit for veterans to access urgent care services.
The Centers for Medicare & Medicaid Services (CMS) has issued Part II of its 2020 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part D Payment Policies and Draft Call letter. CMS proposes a 1.59 percent increase to baseline Medicare Advantage payment rates for 2020.
On Jan. 30 from 3-4 p.m. (PT), The Department of Health Care Services (DHCS) will host a webinar to provide guidance for health plans and hospitals on the changes to network provider requirements.
On Feb. 5 from 10:30 a.m. to noon (PT), the California Health Facilities Financing Authority (CHFFA) will host a webinar to address implementation of Proposition 4, the Children’s Hospital Bond Act of 2018.
Covered California is seeking stakeholder feedback on its efforts to promote accountability and support delivery system improvements. In a recently released request for information, Covered California solicits questions and suggestions in four key areas.
As hospitals actively engage with community partners to comply with a new homeless patient discharge planning law, members of the Legislature heard from advocates last week about the need for a broad transformation in the way California addresses homelessness.
The Centers for Medicare & Medicaid Services (CMS) has announced a new Part D Payment Modernization model, available through the Center for Medicare and Medicaid Innovation, for Part D and Medicare Advantage (MA) drug plans beginning in January 2020.