DHCS Releases New Wiring Instructions for Hospital Fee Invoices
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.
DHCS Issues Hospital Fee July-December 2019 Directed Payment Invoices
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).
Hospital Fee Program Status
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.
CHA to Release 2019-21 Hospital Fee Program Pass-Through Schedules
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.”
DHCS Issues 2019-21 Hospital Fee Invoices
The Department of Health Care Services (DHCS) is issuing invoices this month for the 2019-21 Hospital Fee Program.
2019-21 Hospital Fee Program Invoices Due Oct. 14
Invoices for the 2019-21 Hospital Fee Program, fee-for-service cycle 4, were mailed on March 20; payments are due Oct. 14. The Department of Health Care Services (DHCS) prefers fee payments to be made via electronic funds transfer.
CHA Provides Updates on 2019-21 Hospital Fee Program Payment Schedule
As previously shared in CHA News, following the Centers for Medicare & Medicaid Services (CMS) approval of the Hospital Fee Program, CHA distributes estimated fee and payment schedules to all hospitals. At the time of the 2019-21 approval in February, CHA and the Department of Health Care Services (DHCS) worked closely to finalize a payment schedule, which was distributed to hospitals in April. Since then, hospitals across the state have been preparing for and addressing the COVID-19 pandemic.
DHCS Releases Hospital Fee Program Directed Payment Encounter Data Files
The Department of Health Care Services (DHCS) has uploaded four new hospital-directed files, 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).
Hospital Fee Program Invoices Due Aug. 20
On Friday, the Department of Health Care Services (DHCS) mailed the 2017-19 Hospital Fee Program managed care state fiscal year 2018-19 directed payment invoices (July 1-Dec. 31, 2018). Hospitals are reminded that payment is due Aug. 20 and that DHCS prefers fee payments to be made via electronic funds transfer.
Upcoming Public Hearing to Focus on Proposed Amendments to Sales Tax Regulations
The California Department of Tax and Fee Administration (CDTFA) is holding a public hearing at 1 p.m. (PT) on July 22 about proposed amendments to Regulation 1503, Hospitals and Other Medical Facilities, Institutions and Homes for the Care of Persons, and Regulation 1591, Medicines and Medical Devices.