On Oct. 8, the Centers for Medicare & Medicaid Services (CMS) notified the Department of Health Care Services of its approval of the Hospital Fee Program’s managed care directed payment program for Jan. 1-Dec. 31, 2021.
Traditionally, the Department of Health Care Services (DHCS) processes Medi-Cal managed care supplemental payments at or near the federal funding claiming limit. This lengthy timeline was factored into the original 2019-21 Hospital Fee Program schedules that CHA distributed to hospitals in April 2020.
CHA will host a Hospital Fee Program Status (7) Update webinar on Oct. 5 from 1 to 2 p.m. (PT). With the Hospital Fee Program set to expire at the end of the year, CHA is preparing to work with state officials to develop the next program, so it can be submitted to the Centers for Medicare & Medicaid Services for approval.
Ryan Witz, CHA’s Group Vice President, Policy, will share insights on the length of the program as well as base year data to be used for modeling and more.
The Department of Health Care Services (DHCS) has released three new hospital-directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days).
A recent article in CHA News on new wiring instructions for the 2019-21 Hospital Fee Program Managed Care Directed Payment invoices for the July-December 2019 period may have caused some confusion among members.
As previously shared in CHA News,the Department of Health Care Services (DHCS) distributed the invoices last week for the 2019-21 Hospital Fee Program Managed Care Directed Payment invoices for the July-December 2019 period.
On July 23, the Department of Health Care Services (DHCS) released Hospital Fee Program payment schedules associated with the Bridge Period Directed Payment (Phase 1).
The Hospital Quality Assurance Fee (HQAF) Program and all of its statutory provisions were made permanent through the passage of CHA’s ballot initiative, the Medi-Cal Funding and Accountability Act (Proposition 52), in the November 2016 general election. While this provides the framework for all future hospital fee programs, future iterations must adhere to federal regulations related to health-care provider taxes. Further, the Department of Health Care Services (DHCS) must obtain all necessary federal approvals.
On Feb. 5, CHA will distribute payment schedules to all Medi-Cal health plans and eligible hospitals for the 2019-21 Hospital Fee Program managed care pass-through cycle for July 1, 2019-Dec. 31, 2020. As previously shared in CHA News, these payment schedules will be associated with the fees collected by the Department of Health Care Service (DHCS) on Dec. 23, 2020, with a single invoice labeled as “MC1 PT” and “MC2 PT.”