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DHCS Releases New Hospital Directed Payment Data Sets

For CFOs

Last week, the Department of Health Care Services (DHCS) released two new hospital directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days). The data cover state fiscal year (SFY) 2017-18 Phase 2 (Jan. 1, 2018 – June 30, 2018) and SFY 2018-19 Phase 1 (July 1, 2018 – Dec. 31, 2018). 

New or revised encounters for the SFY 2018-19 Phase 1 must be submitted by Dec. 31.The timeline for SFY 2017-18 Phase 2 is detailed below.

Directed Payments: State Fiscal Year 2017-18 Phase 2 Timeline

DHCS releases statewide detail file to plans/hospitals
(Contract status: first pass)
June 19
DHCS’ final deadline for any new encounter data to be considered June 30
Plans submit detail file with contract status to DHCS (first pass) Aug. 2
DHCS releases statewide detail file to plans/hospitals
(Contract status: final pass)
Sep. 13
Plans submit detail file with contract status to DHCS (final pass) TBA (Est. end of Sept.)
Health plans receive supplemental capitation payments March/April 2020
Hospitals receive supplemental Medi-Cal managed care payments May 2020