Updates for the Week of Dec. 13
This post has been archived and contains information that may be out of date.
The Centers for Medicare & Medicaid Services issued the following updates this week:
CHA News
Provider Relief Fund Reporting Portal Reopens; Deadline to Return Funds is Upcoming
This post has been archived and contains information that may be out of date.
The Health Resources and Services Administration (HRSA) is reopening the Provider Relief Fund (PRF) reporting portal for Period 1 to allow providers to complete or correct their applications.
CDPH Issues Flu Vaccine Recommendations for Providers
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.With flu activity in California expected to increase in the coming months, and the California Immunization Registry (CAIR2) data showing the pace of flu vaccination decreasing in October and November, the California Department of Public Health (CDPH) has issued recommendations and resources […]
CHA Extends Deadline to Dec. 23 to Join FFY 2022 Area Wage Index Litigation
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.CHA has extended the deadline to Dec. 23 for members to join its legal challenge to the Centers for Medicare & Medicaid Services’ (CMS) harmful area wage index (AWI) policies. While CHA’s challenges to the agency’s federal fiscal year (FFY) 2020 and 2021 policies are ongoing, action is required to challenge the policies carried forward into FFY […]
DHCS Releases Hospital-Directed Payment Encounter Data Sets
This post has been archived and contains information that may be out of date.
On Friday, the Department of Health Care Services (DHCS) released three new hospital-directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days).
The data cover:
- Bridge Period 2019-20 Phase 3 (July 1-Dec. 31, 2020, service dates). The name of the file will be Name_BP1920P3.
- Calendar Year 2021 Phase 1 (Jan. 1-June 30, 2021, service dates). The name of the file will be Name_CY2021P1.
- Calendar Year 2021 Phase 2 (July 1-Dec. 30, 2021, service dates). The name of the file will be Name_CY2021P2.
Important Update
The data file with Bridge Period 2019-20 Phase 3 (July 1-Dec. 31, 2020) is the “first pass” at identifying contract status. This contract flagging status file is due no later than close of business on Jan. 21, 2022. As a reminder, the final due date for any new or edited encounter data to be submitted to DHCS for consideration within the bridge period Phase 3 calculation is Dec. 31, 2021.
Reminder: This is an important step in the state’s effort to calculate managed care directed payments that are expected to process in September 2022. Any encounters that are not accurately populated with a contract status flag (“C” indicates contracted, “N” indicates non-contracted, and “H” indicates a hospital-to-hospital contract) will be defaulted by DHCS to “N” — non-contracted — and will not count toward any directed payments.
DHCS Issues Hospital Fee Program CY 2021 Passthrough Invoices
This post has been archived and contains information that may be out of date.
Last week, the Department of Health Care Services (DHCS) issued invoices to hospitals associated with the managed care calendar year (CY) 2021 passthrough cycle. Since the CY 2021 time period crosses over two state fiscal years, the DHCS team labeled these invoices as “MC2 PT and MC3 PT.”
Sequester Deal Provides Critically Important Relief for California Hospitals
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This week, the U.S. House and Senate came to an important bipartisan, bicameral agreement to support hospitals and other providers as they continue to reel from the financial devastation of the COVID-19 pandemic — all while bracing for the potential of another surge due to the omicron variant. It has passed in the House of Representatives, and the Senate is expected to vote on it today or tomorrow.
Updates for the Week of Dec. 6
This post has been archived and contains information that may be out of date.
The Centers for Medicare & Medicaid Services issued the following updates this week:
CHA Provides State-Specific Language for Model No Surprises Act Forms
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CHA has drafted language summarizing California’s surprise billing laws for the No Surprises Act model disclosure notice for patient protections against surprise billing notice regarding patient protections against surprise billing.
CHA Comments on Second No Surprises Act Interim Final Rule
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CHA has submitted comments on the second interim final rule implementing the No Surprises Act (NSA) that includes provisions related to the independent dispute resolution (IDR) process, good faith estimates for uninsured individuals, and the Patient-Provider Dispute Resolution process.