About Finance & Reimbursement
Vulnerable Californians who rely on the care provided by California hospitals are at risk. Driven by skyrocketing costs for labor, pharmaceuticals, regulatory mandates, and more, 53% of all hospitals statewide lose money every day to deliver patient care.
That isn’t sustainable. And California is already seeing the frightening result: rural health care services being cut to the bone, severe behavioral health care needs not being met, and more.
Medi-Cal Treatment Authorization Request System to Be Updated
What’s happening: From Nov. 15- 18, the Medi-Cal Treatment Authorization Request (TAR) system will be unavailable as it is migrated to a new platform.
CMS Finalizes CY 2026 Payment Policies for Physicians
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 physician fee schedule final rule.
CHA Urges Congress to Retroactively Delay Medicaid DSH Payment Reductions
What’s happening: CHA joined California’s public, private, and community safety-net hospitals in urging Congress to retroactively delay the Medicaid disproportionate share hospital (DSH) payment cuts that went into effect on Oct. 1.
2025 Hospital Finance & Reimbursement Conference Approaching
What’s happening: On Nov. 3-4, California hospital finance experts will gather at CHA’s members-only Hospital Finance & Reimbursement Conference to examine the fiscal impact of state and federal regulations and policies on hospitals.
CMS Approves Calendar Year 2023 Medi-Cal Managed Care Rates
What’s happening: On Sept. 30, the Centers for Medicare & Medicaid Services (CMS) approved the Medi-Cal managed care rates for the rating period from Jan. 1, 2023, to Dec. 31, 2023.
CHA Infographic Explains Looming Medicare Cuts
What’s happening: CHA created an infographic on the looming 4% Medicare sequester cut that could go into effect Feb. 1, 2026, if Congress does not act. The sequester would apply to all traditional Medicare payments including inpatient, outpatient, and physician fee schedule services.
CMS Clarifies Claims Hold, Will Process Physician Fee Schedule Claims
What’s happening: The Centers for Medicare & Medicaid Services (CMS) clarified that Medicare administrative contractors (MACs) should process certain claims dated Oct. 1 or later, including Medicare physician fee schedule claims, ground ambulance transport claims, federally qualified health center claims, and telehealth claims that CMS can confirm are for behavioral health services.
DHCS to Reduce Disproportionate Share Hospital Payments
What’s happening: The Department of Health Care Services (DHCS) will issue reduced disproportionate share hospital (DSH) payments in October, covering the July-September 2025 payment period.
2025 Hospital Finance & Reimbursement Conference
What’s happening: On Nov. 3-4, California hospital finance experts will gather at CHA’s members-only Hospital Finance & Reimbursement Conference to examine the fiscal impact of state and federal regulations and policies on hospitals.
2025 Hospital Finance & Reimbursement Conference Agenda Now Finalized
What’s happening: On Nov. 3-4, California hospital finance experts will gather at CHA’s members-only Hospital Finance & Reimbursement Conference to examine the fiscal impact of state and federal regulations and policies on hospitals.