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The Centers for Medicare & Medicaid Services (CMS) has delayed the start of the radiation oncology (RO) model until Jan. 1, 2023, due to a provision in the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610).
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CHA has provided resources to help members navigate the implementation of the No Surprises Act requirements. The resources include the latest implementation updates, summaries of legislation and related rules, CHA advocacy efforts, and on-demand webinars that discuss each of the provisions to be implemented.
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On Dec. 16, the Health Resources and Services Administration (HRSA) will begin distributing approximately $9 billion in Phase 4 Provider Relief Fund (PRF) payments.
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In a recent conversation with a California hospital CEO that touched on any number of the headwinds facing hospitals in the years to come, he offered this assessment of the current state of affairs: “The world just isn’t working the way it’s supposed to.”
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The Centers for Medicare & Medicaid Services issued the following updates this week:
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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.
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This post has been archived and contains information that may be out of date.With flu activity in California expected to increase in the coming months, and the California Immunization Registry (CAIR2) data showing the pace of flu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 […]
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This post has been archived and contains information that may be out of date.CHA has extended the deadline to Dec. 23 for members to join its legal challenge to the Centers for Medicare & Medicaid Services’ (CMS) harmful area wage index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 […]
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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:
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.
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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.”