Every year, California’s hospitals treat millions of patients, many of them covered by Medi-Cal, the state’s health care safety net. This includes numerous essential health care services for Californians, including care for more than 50% of all births, 46% of behavioral health-related emergency department visits, 58% of rural hospital patient care days, 1 million inpatient stays, and nearly 16 million outpatient visits in 2018. CHA is committed to protecting Medi-Cal rates and assuring that the state’s neediest maintain access to the high quality of care that all Californians deserve.
CHA will host a complimentary, members-only webinar on Aug. 6 from 9 to 10 a.m. (PT) to discuss implementation of the No Surprises Act and to help members understand the notice and consent process, along with qualifying payment calculation.
The Centers for Medicare & Medicaid Services (CMS) will host a national stakeholder call at 12:30 p.m. (PT) on July 22 to discuss the interim final rule with comment period implementing the No Surprises Act, which addresses surprise medical billing at the federal level.
March 24, 2021
11:00 a.m. – 12:00 p.m., Pacific Time
A complimentary, CHA members-only webinar
The No Surprises Act was signed into law on Dec. 27, 2020, as part of the Consolidated Appropriations Act of 2021. It addresses surprise medical billing for federally-regulated plans and in states without surprise billing laws. Most sections of the legislation are effective Jan. 1, 2022. As the name implies, this Act prohibits patients from getting surprise bills in certain out-of-network situations. The Departments of Health & Human Services, Treasury and Labor will issue regulations and guidance to implement numerous provisions.
Crossover claim billing can be an important part of an acute psychiatric hospital’s reimbursement strategy, providing a hospital with a significant cash flow for claims that otherwise wouldn’t be paid. However, navigating the system to collect on these claims can often feel like an upstream battle.
CHA has submitted a comment letter to the Department of Health Care Services (DHCS) on its draft Request for Proposal (RFP) #20-10029, Medi-Cal Managed Care Plans, released on June 1.
CHA has issued a draft comment letter on the Department of Health Care Services’ (DHCS’) draft Request for Proposal (RFP) #20-10029, Medi-Cal Managed Care Plans, released on June 1.
The Department of Health Care Services (DHCS) will host a webinar on Medi-Cal Managed Care & CalAIM: Upcoming Policy Updates on June 29 from 2 to 3 p.m. (PT).
On June 17 from 3 to 4 p.m. (PT), CHA will host a member forum to present an overview of the draft request for proposal for the Medi-Cal managed care plan (MCP) contract and the upcoming Medi-Cal MCP procurement that was released by the Department of Health Care Services on June 1. Ryan Witz, CHA vice president of health care […]
Changes for Medi-Cal and managed care are around the corner. They are significant, and they will impact most of California’s hospitals.
As previously shared in CHA News, the Department of Health Care Services (DHCS) has released a draft request for proposal (RFP) to solicit feedback from interested parties on the Medi-Cal managed care plan (MCP) contract and upcoming Medi-Cal MCP procurement.