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.
On April 6, the Department of Health Care Services updated its state fiscal year (SFY) 2021-22 Diagnosis-Related Group grouper settings documents to reflect 3M Grouper Software mapper and hospital-acquired conditions updates that took effect on April 1.
The Department of Health Care Services (DHCS) will host a webinar on Feb. 15 from 3:30 to 5 p.m. (PT) to share how the agency will leverage the managed care plan request for proposal (RFP) and managed care contracts to further DHCS’ goal of enhancing how care is delivered to Medi-Cal members.
As previously shared, the Department of Health Care Services (DHCS) transitioned all Medi-Cal managed care outpatient pharmacy services billed on pharmacy claims to the fee-for-service (FFS) delivery system on Jan. 1 — the much-anticipated implementation of Medi-Cal Rx.
Based on requests from stakeholders, including CHA, the Department of Health Care Services has released guidance on the reimbursement requirements associated with the California Advancing and Innovating Medi-Cal (CalAIM) major organ transplant changes.
On behalf of the Department of Health Care Services (DHCS), Aurrera Health Group has released an Enhanced Care Management (ECM) Provider Toolkit and Community Supports Explainer. In addition, DHCS is hosting a webinar at 9 a.m. (PT) on Jan. 7 that will include an update on ECM and Community Supports implementation and review the new provider resources, including the ECM Provider Toolkit and Community Supports Explainer, and the ECM Outreach and Member […]