DHCS Releases Updated Managed Care Utilization Data to Determine Hospital Directed Payments
What’s happening: On Dec. 8, the Department of Health Care Services (DHCS) released the latest round of Medi-Cal managed care utilization data to hospitals and health plans, which is used to determine the amount of funding each hospital will receive in the Private Hospital Directed Payment Program.
What else to know: Hospitals should download their data from the DHCS secure site as soon as possible as uploaded files will be deleted within 45 days.
Children’s Behavioral Health Services Lack Timely Access
What’s happening: The California State Auditor recently investigated children’s access to Medi-Cal-covered behavioral health services.
What else to know: The auditor concluded that many Medi-Cal health plans were out of compliance with state requirements for timely care and that the Department of Health Care Services (DHCS) is not adequately disciplining health plans.
Proposed Changes to the No Surprises Act Independent Dispute Resolution Process
Join CHA’s Chad Mulvany and King and Spaulding’s Amanda Hayes-Kibreab as they unpack what’s in the proposed rule and how it could impact hospitals. Changes are coming, don’t miss this opportunity to stay ahead of the curve!
CHA Distributes Hospital Fee Program 7 (2022) Passthrough Schedules to Hospitals and Health Plans
On Oct. 19, CHA delivered Hospital Fee Program 7 (2022) payment schedules to hospitals and Medi-Cal managed care plans. These schedules detail what health plans will pay which hospitals and how much they should pay.