What’s happening: CHA DataSuite has issued hospital-specific analyses of the Value-Based Purchasing (VBP) Program and the Hospital-Acquired Condition (HAC) Reduction Program for federal fiscal year (FFY) 2027.
As California’s rural hospitals work to secure funding via the federal Rural Health Transformation Program (RHTP), a new tool is available to help them find partners to prepare their grant proposals.
What's happening: Organizations representing nearly 150 hospitals wrote or commented at this week’s Office of Health Care Affordability (OHCA) board meeting asking the board to reject OHCA’s proposed penalties, which could be in the hundreds of millions of dollars for even a single-year violation of the spending targets. Hospitals shared the disastrous consequences such exorbitant...
This week, the Legislature advanced its own version of the state budget in a suite of bills that take critical steps toward shoring up health care across California.
What’s happening: CHA is sharing two analyses prepared by Health Policy Alternatives (HPA) that cover Medicaid rules on directed payments and targeted supplemental payments as well as the implementation of community engagement (work requirement) provisions.
What’s happening: Claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier. Prescribers not yet enrolled should immediately submit their Medi-Cal provider enrollment application via the Provider Application and Validation for Enrollment page.
What’s happening: As a reminder, ICD-10-CM diagnosis codes will be required for Medi-Cal Rx claims starting this fall.
What’s happening: The Department of Health Care Access and Information has released an updated version of the Advisory Guide on Functional Program.
What’s happening: As a reminder, all hospitals must submit an ambulance patient offload time (APOT) reduction protocol — required under Assembly Bill (AB) 40 (2023) — to the Emergency Medical Services Authority (EMSA) annually on or before June 30. CHA recommends hospitals submit their protocols as soon as possible.
What's happening: The Office of Health Care Affordability’s (OHCA) board meets next week to discuss the proposed spending target penalties, draft changes to the cost and market impact review (CMIR) regulations, and health care spending trends from 2023-2024. Hospitals’ help is needed to push back against the exorbitant penalties proposed by OHCA; see CHA’s alert for guidance...