On Sept. 11, the Centers for Medicare & Medicaid Services (CMS) approved the Medi-Cal managed care rates for Jan. 1-Dec. 31, 2021. Subsequently, on Sept. 14, CMS approved the revised rate packages for Jan. 1-Dec. 31, 2021.
On July 26, the Department of Health Care Services (DHCS) released an All-Plan Letter reminding Medi-Cal managed care plans of their responsibility to pay providers on a timely basis.
CHA has issued members-only summaries, prepared by Health Policy Alternatives, Inc., of two proposed rules related to Medicaid programs.
The Centers for Medicare & Medicaid Services (CMS) has issued two proposed rules related to Medicaid programs. The proposed rules are designed to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service and managed care delivery systems. Comments on both proposed rules are due to CMS by 2 p.m. (PT) on July 3.
Join Amanda Hayes-Kibreab, partner, and Alana Broe, associate at King & Spalding, as they share insights on the No Surprises Act.
To increase access to comprehensive care coordination, care management, and a broad array of services for Medi-Cal beneficiaries, CalAIM is standardizing Medi-Cal Long-Term Care (LTC) across the state. Effective January 1, all managed care plans must authorize and cover medically necessary LTC services at Skilled Nursing Facilities.
On January 1, 2023, those enrolled in Medicare and Medi-Cal and who currently receive their Medi-Cal benefits through traditional fee-for-service will have their Medi-Cal benefits transitioned to Medi-Cal managed care statewide, which could mean changes for you.