About Clinical Care
California’s hospitals are dedicated to providing high-quality, safe, and person-centered health care. This wouldn’t be possible without the clinical services hospitals provide, which include emergency care, surgery, X-ray/radiology, laboratory services, and behavioral health care. The care that hospitals provide is shaped by their communities’ needs.
Immediate Action Needed for Prescribers: Ensure Enrollment as Medi-Cal FFS Provider
What’s happening: Claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier. Prescribers not yet enrolled should immediately submit their Medi-Cal provider enrollment application via the Provider Application and Validation for Enrollment page.
Reminder: Include ICD-10-CM Diagnosis Codes on Medi-Cal Rx Claims
What’s happening: As a reminder, ICD-10-CM diagnosis codes will be required for Medi-Cal Rx claims starting this fall.
Provider Enrollment Information Available on Vaccines for Children Program
What’s happening: The California Department of Public Health (CDPH) has released provider enrollment information on the Vaccines for Children (VFC) Program.
Under State Program, Hospitals to Provide to Diapers to All Newborns
What’s happening: Last week, Gov. Newsom announced the launch of a program that will provide 400 free diapers to the families of all babies born in California. Hospitals will provide diapers at the time of discharge, or shortly thereafter, such as during a newborn follow-up visit.
CHA Pushes Back on Commentary Attacking 340B Program
What’s happening: CalMatters has published a CHA counter op-ed on 340B that reinforces the program’s importance for patients and safety-net providers.
Medi-Cal Rx Claims to Require ICD-10-CM Diagnosis Codes Beginning This Fall
What’s happening: Starting this fall, ICD-10-CM diagnosis code(s) will be required for Medi-Cal Rx claims. This change is being made to better implement appropriate utilization management controls, including prior authorization.
House Letter Urges Appropriators to Block Funding for 340B Rebate Model
What’s happening: U.S. Rep. Doris Matsui led a bipartisan letter requesting that the fiscal year 2027 appropriations bill include language barring the use of funds for implementation of any 340B Rebate Model, including the previously proposed pilot program.
Affordability, Drug Pricing in Focus at Key AHA Meeting
Discussions at this week’s American Hospital Association Regional Policy Board 9 meeting will delve into several timely and weighty issues for hospitals in California and nationwide.
New CHA Infographic Available on 340B Drug Pricing Program
What’s happening: CHA's new infographic illustrates how the 340B program works, highlights its benefits to patients and communities in reducing drug costs and expanding access to care, details who is eligible to participate, and sets the record straight on program oversight and compliance.
Organ and Tissue Donor Registration Now Inside Epic’s MyChart
What’s happening: Donate Life America and Epic have integrated organ, eye, and tissue donor registration directly into the Epic MyChart portal, allowing adult patients to securely record their donation decision.