Hospital Case Management

Parent Issue

State Offers Oxygen-Related Provider Hotline Resource

To enhance the transparency of all oxygen-related equipment and supplies offered throughout the state, the California Health and Human Services Agency, in partnership with the Governor’s Office of Emergency Services, is offering a provider hotline for health care facilities and Medical and Health Operational Area Coordinators (MHOACs).  

CMS Finalizes Rule on Prior Authorization Process

The Centers for Medicare & Medicaid Services (CMS) – in coordination with the Office of the National Coordinator for Health Information Technology – has issued a final rule intended to streamline and reduce the burden associated with health plan prior authorization processes through Application Programming Interfaces (APIs).   

CDPH Issues Revised AFL on Interdisciplinary Team Decisions in SNFs

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-83.1, which clarifies previously issued guidance on the interdisciplinary team (IDT) medical decision-making process for skilled-nursing facility residents who are unable to provide informed consent and do not have a representative to make decisions on their behalf.  

HHS Issues Gov. Newsom’s Master Plan for Aging

In June 2019, Gov. Gavin Newsom issued an Executive Order calling for the creation of a Master Plan for Aging, which affirmed the priority of the health and well-being of older Californians and the need for policies that promote healthy aging.  

DMHC Issues All Plan Letter on Compliance with Mental Health and Substance Use Parity Law

On Jan. 5, the Department of Managed Health Care (DMHC) issued All Plan Letter (APL) 21-002 to all commercial full-service health plans and specialized health plans offering behavioral health services that are regulated by the department. The guidance is designed to ensure health plans comply with amendments made to Senate Bill (SB) 855 (Wiener, D-San Francisco), the mental health and substance use parity law that took effect on Jan. 1.   

CHA Submits Comments on Prior Authorization, 1135 Waiver Process Proposals

CHA recently submitted comments on a proposed rule by the Centers for Medicare & Medicaid Services (CMS) – in coordination with the Office of the National Coordinator for Health Information Technology – intended to streamline and reduce the burden associated with health plan prior authorization processes through Application Programming Interfaces (APIs).