What’s happening: The House voted 336-95 on a two-tiered stopgap measure that funds the federal government past the Nov. 17 deadline and delays Medicaid disproportionate share hospital cuts until Jan. 19. The Senate passed the measure on Nov. 15 and President Biden has indicated he will sign it.
What else to know: Funding expires for certain federal agencies on Jan. 19 and other agencies on Feb. 2.
On Oct. 4, the Department of Health Care Services (DHCS) notified CHA that due to the passage of House Resolution 5860, which delayed the implementation of the Affordable Care Act Disproportionate Share Hospital (DSH) reduction until after Nov. 17, the department will not reduce the July-September 2023 round of DSH payments.
A bipartisan group of 51 senators urged Senate leaders to address the impending cuts to the Medicaid disproportionate share hospital (DSH) program, which are scheduled to begin on Oct. 1. Senators Feinstein and Padilla signed the letter.
As part of the federal fiscal year 2024 inpatient prospective payment system final rule, the Centers for Medicare & Medicaid Services (CMS) also finalized its proposal to limit how Medicaid 1115 demonstration days count for purposes of the Medicare disproportionate share hospital (DSH) calculation.
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of a final rule on the treatment of Medicare Part C patient days in the Medicare disproportionate share hospital calculation. The policy is effective Aug. 8.