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.
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.
What’s happening: A new update on doula regulations from the Department of Health Care Services (DHCS) removes the need for physician approval to allow doulas to be present during deliveries in hospitals.
What else to know: DHCS Medical Director, Karen Mark, MD, has authorized doula services for any Medi-Cal member who is pregnant or was pregnant within the past year and wishes to receive services from a doula while pregnant or within one year of pregnancy.
What’s happening: The House voted 336-95 on a two-tiered stopgap measure that funds the federal government past the Nov. 17 deadline and delays Medicaid disproportionate share hospital cuts until Jan. 19. The Senate passed the measure on Nov. 15 and President Biden has indicated he will sign it.
What else to know: Funding expires for certain federal agencies on Jan. 19 and other agencies on Feb. 2.
This page contains important, members-only information related to the Centers for Medicare & Medicaid Services’ recently finalized area wage index policy. To continue, please log in to your member account.
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!
Last week, the Coalition to Protect Access to Care submitted final revised ballot initiative language for the Protect Access to Healthcare Act of 2024. It would permanently authorize the managed care organization (MCO) tax in state law and dedicate the majority of associated revenues to improving Medi-Cal provider payments in targeted service categories.
The language was amended to address concerns related to the state budget, as well as other stakeholder concerns. If approved by voters, the final language will:
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.
On Oct. 4, the Department of Health Care Services (DHCS) notified CHA that due to the passage of House Resolution 5860, which delayed the implementation of the Affordable Care Act Disproportionate Share Hospital (DSH) reduction until after Nov. 17, the department will not reduce the July-September 2023 round of DSH payments.