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CMS Approves Hospital Fee’s Managed Care Directed Payment Structure

For CFOs

On June 12, the Centers for Medicare & Medicaid Services (CMS) notified the Department of Health Care Services of its approval of the Hospital Fee Program’s managed care directed payment program for July 1, 2019-Dec. 31, 2020.

Even though this structure is consistent with years’ past, the CMS approval does not constitute final approval — that is tied to CMS’ approval of the managed care rates. As with past experience, the CMS approval process for managed care rates could take several years.