The California Department of Public Health (CDPH) earlier this week released All Facilities Letter 19-19, which updates its application process for new or remodeled pharmacy clean rooms and mobile sterile compounding units (MSCUs). Notably, CDPH will no longer accept incomplete applications for pharmacy clean rooms or MSCUs. CDPH states the update is in response to Assembly Bill 2978 (Chapter 992, Statutes of 2018), which requires CDPH to review or deny applications within 100 days of receipt.
As of April 1, 26 counties were approved to deliver Drug Medi-Cal Organized Delivery System (DMC-ODS) services, representing nearly 88 percent of the Medi-Cal population statewide. Fourteen additional counties are in various phases of implementation.
Last week, a federal district court ruled that the Department of Health and Human Services (HHS) exceeded its statutory authority when it implemented a 30% reduction to 2019 Medicare reimbursement rates — included in the federal fiscal year (FFY) 2019 outpatient prospective payment system (OPPS) final rule — for certain pharmaceutical drugs covered by the 340B Drug Pricing Program.
A new report from the UCLA Center for Health Policy Research examines how current policy proposals to expand coverage would impact residents across the state, finding that as many as 3.6 million Californians would benefit.
CHA has issued a summary — prepared by Health Policy Alternatives, Inc. — of the federal fiscal year 2020 long-term care hospital (LTCH) prospective payment system proposed rule. The summary describes payment, policy and quality proposals under the LTCH Quality Reporting Program. Comments on the proposed rule are due June 24.
The Centers for Medicare & Medicaid Services (CMS) this week announced a number of improvements to the Medicare Recovery Audit Contractor (RAC) Program, seeking to reduce providers’ burden by better targeting program integrity efforts.
Yesterday, CHA issued a news release on Gov. Newsom’s revised 2019-20 state budget. CHA applauds the Governor for making investments that improve Californians’ health and well-being, including: ongoing support for expanding Medi-Cal coverage to young adults, regardless of immigration status; imposing a state-level individual coverage mandate; broader premium subsidies for low and middle-income families; and significant investments in behavioral health.
On Feb. 28, the Centers for Medicare & Medicaid Services (CMS) approved the Home- and Community-Based Services Assisted Living Waiver (ALW) renewal, effective March 1, 2019, through Feb. 28, 2024. The renewal includes 2,000 slots added in the CMS-approved amendment from October 2018, for a total capacity of 5,744.
In a May 3 letter to CHA, UnitedHealthcare (UHC) announced it will temporarily suspend implementation of its new sepsis review policy in California until Nov. 1. The delay — a result of CHA’s advocacy on the issue — is intended to allow additional time to work through administrative and other issues that are unique to the California market, in particular due to California hospitals’ prevalent use of full-risk, capitated, delegated network arrangements.
The Department of Managed Health Care (DMHC) has released draft guidance and accompanying forms — a confidentiality request form and an expedited exemption request form — related to its Knox-Keene licensure regulation. The regulation, among other things, defines various types of risk and requires entities that assume any amount of global risk to either obtain a license under the Knox-Keene Health Care Service Plan Act of 1975 or receive an exemption from DMHC.