CHA News

Change Healthcare Cyberattack Raises Privacy Breach Implications 

What’s happening: CHA has analyzed public information to help hospitals better understand privacy implications stemming from the Change Healthcare cyberattack in late February.  

What else to know: The cyberattack raises the question of whether affected hospitals must report a breach to patients or to government officials under the Health Insurance Portability and Accountability Act (HIPAA) or state breach reporting laws.  

Tyler Sadwith Appointed as DHCS State Medicaid Director

What’s happening: On March 13, Gov. Newsom announced the appointment of Tyler Sadwith as state Medicaid director at the Department of Health Care Services (DHCS), effective March 25.  

What else to know: Sadwith has held leadership positions at DHCS since July 2021, most recently serving as deputy director for behavioral health since June 2022.   

Providers Must Register for New Medi-Cal Portal by April 11

What’s happening: The Department of Health Care Services (DHCS) will be decommissioning the legacy portal for presumptive eligibility (PE) enrollment and replacing it with the new Medi-Cal Provider Portal.  

What else to know: Providers who currently use the legacy Medi-Cal Transaction Services Portal must register for the new Medi-Cal Provider Portal by April 11. Failure to register will result in losing access to the PE applications.  

DHCS Issues Memo to Medi-Cal Managed Care Health Plans on Change Healthcare Cyberattack

What’s happening: On March 13, the Department of Health Care Services issued a memo to its contracted Medi-Cal managed care plans (MCPs) related to flexibilities to ensure delivery system stability following the Change Healthcare cyberattack.  

What else to know: The memo reminds MCPs of their claims payment contractual responsibilities, including oversight of their delegated entities, and strongly encourages MCPs to take steps to support the provider community.  

CMS Announces New Primary Care Payment Model

What’s happening: The Centers for Medicare & Medicaid Services (CMS) announced the Accountable Care Organization (ACO) Primary Care (PC) Flex Model, a new voluntary payment model that will test how prospective payments and increased funding for primary care in ACOs impact health outcomes, quality, and costs of care.  

What else to know: CMS will launch the model on Jan. 1, 2025.