Earlier this month, the Department of Health Care Services (DHCS) collected from hospitals the fees associated with the Cycle 9 fee-for-service (FFS) payments. As previously shared, hospitals will receive the corresponding FFS payment on April 22.
Additionally, last month DHCS collected from hospitals the fees associated with the first 18 months of managed care pass-through payments (MC 1 PT, which covers Jan. 1 through June 30, 2017, and MC 2a PT, which covers July 1, 2017, through June 30, 2018). While these rates have not been formally approved by the Centers for Medicare & Medicaid Services, DHCS has made the supplemental capitation payments under the Quality Assurance Fee program to the Medi-Cal managed care plans. Today, CHA distributed the schedules with estimated payment amounts, by health plan, to all member hospitals. These payments should be received in the coming weeks.
Both the Cycle 9 FFS payment and the 18 months of managed care pass through payments are expected to be paid at nearly 100 percent of the modeled amounts.