On Friday (6/11), the Department of Health and Human Services (HHS) released updated Provider Relief Fund (PRF) reporting requirements. As requested by CHA and others, the revised guidance extends the time granted to recipients to use the funds. The updated reporting requirements and time frames apply to recipients of General, Targeted, and Skilled Nursing Facility and...
How familiar are you with “white bagging?” Maybe you’ve heard of it but aren’t sure what it is or how it affects your facility. Here’s a quick explanation: white bagging means payers reimburse third-party pharmacies, which then distribute the medications to outpatient medical providers, removing your ability to make changes to a patients’ medication. This...
The Centers for Medicare & Medicaid Services (CMS) has issued its federal fiscal year (FFY) 2022 inpatient prospective payment system (IPPS) proposed rule. CMS proposes to increase payment rates by approximately 2.8% in fiscal year 2022 compared to FFY 2021 for hospitals paid under the IPPS that successfully participate in the hospital inpatient quality reporting program and are users of meaningful...
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed rule updating the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2022. This CMS proposal is estimated to increase overall payments by $90 million compared to fiscal year 2021. Megan Howard, CHA’s Vice President of Federal Policy, will provide...
California Advancing and Innovating Medi-Cal (CalAIM), is a multiyear process led by the California Department of Health Care Services (DHCS), with goals to improve the health outcomes and quality of life experienced by Medi-Cal patients.CalAIM initiative, originally scheduled for Jan. 1, 2021, implementation, was postponed due to the COVID-19 public health emergency. In January, DHCS...
The Office of Statewide Health Planning and Development (OSHPD) is requiring hospitals to report on their minority, women, LGBT, and disabled-veteran business enterprise procurement efforts by July 1, 2021.This is your opportunity to get compliance advice direct from the source and tune into important program clarifications. Join us as we engage experts OSHPD to discuss:...
According to a January 8, 2021 article on ABAJournal.com, in 2020, “Top industries facing lawsuits were health care, business services, manufacturing, retail, government and assisted living.” Specialists predict it isn’t a question of if hospitals will experience professional liability and employment claims in California, it is a matter of when. Litigation related to the pandemic...
Implementation of CalAIM is a multiyear process and will influence how patient care is provided in numerous areas. Review this education brief to learn more about Medi-Cal Specialty Mental Health Services, what may be defined as ‘medical necessity,’ the CalAIM proposal and anticipated changes, and answers to the most common questions about the CalAIM reforms...
Upcoming changes to Medi-Cal will have a tremendous impact on hospitals. One of those changes is related to the Behavioral Health Payment Reform. Review this education brief to better understand realignment, proposed behavioral health payment reform and the two phases of implementation.
Overview
The CHA case manager committee identified a need — case managers needed additional training opportunities as well as ongoing support. And case management leaders needed training tools that were accessible, cost-effective, and which could be customized to meet the unique needs of each individual and hospital.
