CHA News

CMS Approves Hospital Fee’s Managed Care Directed Payment Structure

For CFOs

This post has been archived and contains information that may be out of date.

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.