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 Distributes Hospital Fee Program 7 (2022) Passthrough Schedules to Hospitals and Health Plans
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.
The Newborn Gateway Webinar
DHCS Postpones Disproportionate Share Hospital Cuts for July-September 2023 Payment Cycle
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.
Diagnosis-Related Group Program Updates Medi-Cal FFS Payment System
On Oct. 3, the Department of Health Care Services notified hospital providers that the diagnosis-related group (DRG) program has updated the Medi-Cal fee-for-service (FFS) payment system with the newest ICD-10-CM diagnosis and surgical procedure codes released by the Centers for Medicare & Medicaid Services, effective on or after Oct. 1, 2023.
DHCS Issues Updated 2024 Medi-Cal Managed Care Plan Transition Policy Guide
On Sept. 29, the Department of Health Care Services (DHCS) released an updated 2024 Medi-Cal Managed Care Plan (MCP) Transition Policy Guide. It includes the new MCP Transition Monitoring and Oversight Policy and new transition-related requirements for incentive programs, as well as updates to all other sections of the policy guide. It also contains DHCS policy and related MCP requirements related to member transitions among Medi-Cal MCPs that take effect on Jan. 1, 2024.
Federal Government Shutdown Averted, Temporary Continuing Resolution Passed
On Sept. 30, Congress passed, and President Biden signed a continuing resolution (CR) funding the federal government for 45 days. The measure includes a 45-day delay of the Medicaid disproportionate share hospital cuts, as well as $16 billion in Federal Emergency Management Agency funding for disaster relief as requested by the White House.
Federal Medicaid Proposed Regulations Webinar
CHA is hosting a webinar featuring Chad Mulvany, Vice President of Federal Policy, and Robert Ducay, Vice President of Policy. Both experts will discuss their insights and potential impacts related to these proposals. They will answer any questions you have about these proposed rules.
FEMA Region 9/CalOES Reimbursement Update
Comments on the proposed rule are due to CMS by June 9. Join CHA’s Megan Howard and Chad Mulvany as they provide a summary of the proposed rule implications on your organization and how you can share your concerns on the impending changes.