About Medi-Cal
More than 15 million Californians rely on Medi-Cal, the state’s health care coverage safety net, for health insurance. Two-thirds of those on Medi-Cal are people of color and often live in communities with a lack of adequate health care providers. Without significant investments to support providers that deliver health care to California’s most vulnerable, millions living in rural and underserved areas are in jeopardy.
Medi-Cal is California’s version of the federal program known as Medicaid. To learn more about CHA’s work to protect Medicaid, visit our federal resource page.
Download Private Hospital-Directed Payment Encounter Files by Feb. 5
What’s happening: On Dec. 26, the Department of Health Care Services (DHCS) uploaded three new hospital-directed payment encounter files, available via the Secure File Transfer Protocol (SFTP) site. The SFTP site is not intended for long-term storage, so files will be deleted Feb. 5. What else to know: These data sets include Managed Care Provider Network 274 data as outlined in All Plan Letter 16-019. The hospital-directed payment encounter files cover the following service periods: Calendar year (CY) 2024...
2026-27 State Budget to be Released Tomorrow
What’s happening: Governor Gavin Newsom will release his proposed budget for 2026-27 tomorrow, kicking off the state budget process and legislative budget hearings that will continue until the budget is finalized this summer.
Key Messages: California’s Health Care System Is on Life Support
The risk of losing access to critical health care services for Californians has never been greater. In the past three years alone, two hospitals in California have been forced to close. Another 22 have had to shutter maternity units just to stay afloat, leaving 12 counties without maternity care. Today, dozens more are facing similar...
Infographic: Financial Instability
DHCS Requests Comments on Plan Policies for SNF, Subacute Authorization and Payment by Friday
What is happening: The Department of Health Care Services (DHCS) is requesting feedback by Dec. 5 on draft all plan letters addressing updated policies for Medi-Cal managed care plan (MCP) coverage of skilled-nursing, subacute care , and intermediate care facility services.
DHCS Releases Private Hospital-Directed Payment Encounter Files — Download by Jan. 5
What’s happening: On Nov. 21, the Department of Health Care Services (DHCS) uploaded three new hospital-directed payment encounter files, available via the Secure File Transfer Protocol (SFTP) site. The SFTP site is not intended for long-term storage, so files will be deleted Jan. 5, 2026.
Disproportionate Share Hospital “Catch-Up” Payments to Be Made in Early December
What’s happening: The Department of Health Care Services (DHCS) has outlined its schedule for issuing “catch-up” payments to hospitals in December, reflecting congressional action that delayed pending cuts to disproportionate share hospitals (DSHs).
D.C. Download: The Good, the Bad, and the Unknown
Congressional votes to end the federal government shutdown have brought several pieces of good news for health care. Other developments out of Washington, D.C., have more mixed results.
CHA Requests Feedback on Hospital Fee Program 10 Proposed Data by Nov. 25
What’s happening: CHA has been working closely with the Department of Health Care Services (DHCS) to develop Hospital Fee Program 10 — a one-year program that would utilize 2023 data and start on Jan. 1, 2026. With each Hospital Fee Program renewal, DHCS retrieves the requisite hospital data and updates the fee and payment model as directed under the authorizing legislation found under...
Medi-Cal Treatment Authorization Request System to Be Updated
What’s happening: From Nov. 15- 18, the Medi-Cal Treatment Authorization Request (TAR) system will be unavailable as it is migrated to a new platform.