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.
Given the ongoing challenges associated with the COVID-19 public health emergency, the Department of Health Care Services (DHCS) has decided to delay the full implementation of Medi-Cal Rx until April 1, 2021.
CHA has issued a detailed summary, prepared by Health Policy Alternatives, of the Medicaid Managed Care final rule recently issued by the Centers for Medicare & Medicaid Services.
Earlier today, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that revises Medicaid Managed Care and Children’s Health Insurance Program regulations intended to reduce state administrative burden and increase program flexibility. CHA provided written comments on CMS’ proposed rule in January 2019.
In advance of the transition of pharmacy services to Medi-Cal Rx starting on Jan. 1, 2021, the Department of Health Care Services recently launched a training registration application on the Medi-Cal Rx portal for Medi-Cal prescribers and pharmacies.
In a large showing of bipartisan support, 47 of the 53 members of the California congressional delegation sent a letter urging Speaker Pelosi and Minority Leader McCarthy to eliminate the scheduled cuts to Medicaid disproportionate share hospitals (DSH) for two years.
CHA has developed for members a new infographic on the Hospital Fee Program, highlighting the expected changes between the 2017-19 Hospital Fee Program (V) and the 2019-21 Hospital Fee Program (VI). The infographic illustrates the shift in payment structure toward managed care “directed payments,” which requires a hospital to be a network provider to receive a payment.
Yesterday, the U.S. Senate passed a continuing resolution to provide funding for the federal government for the first few weeks of federal fiscal year 2020, which begins Oct. 1. Of particular note for California’s safety-net hospitals, the measure includes a provision to delay the Medicaid disproportionate share hospital (DSH) cuts slated to take effect on Oct. 1. The delay is in place until Nov. 21.
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule implementing reductions to Medicaid disproportionate share hospital (DSH) allotments, as required by the Affordable Care Act, beginning in federal fiscal year (FFY) 2020 through FFY 2025.
CHA, the California Association of Public Hospitals and Health Systems, Private Essential Access Community Hospitals, Inc., the California Children’s Hospital Association, and the District Hospital Leadership Forum have submitted a joint letter opposing the Centers for Medicare & Medicaid Services’ (CMS) proposed rule that would rescind current requirements for the way states assure access to covered Medicaid services.