Medi-Cal

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.

CHA Will Host Vitality Payer Scorecard Webinar

What’s happening: CHA is hosting a complimentary, members-only webinar on Feb. 27 at 10 a.m. (PT) to highlight the American Hospital Association Vitality Payer Scorecard, which was recently endorsed by the CHA board.   What else to know: The scorecard captures necessary and normalized data points without sharing protected health information. The automated process is based […]

CHA Fact Sheets Show New Behavioral Health Facilities Being Built

What’s happening: To help CHA members learn about new behavioral health facilities being constructed in communities around the state, CHA has created an online document that displays the funds awarded to build various types of facilities by county.  

What else to know: Close to $2 billion in state funds have been distributed throughout California during the past two years to build new behavioral health treatment locations that will serve Medi-Cal beneficiaries.  

CMS Updates Hospital Guidance for Texting Patient Info

What’s happening: The Centers for Medicare & Medicaid Services (CMS) updated guidance for hospitals and critical access hospitals related to texting patient information.  

What else to know: Hospitals should use a Health Insurance Portability and Accountability Act-compliant secure texting platform that complies with Medicare and Medicaid conditions of participation.  

Changes Proposed for Accrediting Organizations Requirements

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued proposed changes to accrediting organization (AO) requirements.  

What else to know: The proposed changes are intended to strengthen the agency’s oversight of AOs and prevent conflicts of interest. Comments are due to CMS by 2 p.m. (PT) on April 15.  

DHCS Issues Letters to Recover Prior Year Overpayments for PHSF Program

What’s happening: The Department of Health Care Services (DHCS) issued demand letters last week to nearly 125 private hospitals seeking to recover overspent funds distributed through the Private Hospital Supplemental Fund (PHSF) program.  

What else to know: DHCS wants to recover overspent funds from 2013-14 and 2020-21. The overpayments are due to DHCS by April 1.  

CHA Continues Support for Medicaid DSH 

What’s happening: Current funding legislation supported by CHA extends the delay in the implementation of pending Medicaid disproportionate share hospital cuts until March 8.   

What else to know: On Jan. 18, the House and Senate passed legislation, known as a continuing resolution, to fund the federal government though March 1 for certain departments, and March 8 for others. 

Congress Passes Legislation to Fund Government Through March

What’s happening: On Jan. 18, the House and Senate passed legislation, known as a continuing resolution, to fund the federal government though March 1 for certain departments and March 8 for others. President Joe Biden signed the bill on Jan. 19.  

What else to know: The resolution included a CHA-supported provision to delay scheduled Medicaid disproportionate share hospital cuts until March 8.