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CMS Approves SFY 2017-18 Rates; Hospital Fee Program 7 Approval Still Pending

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On June 17, the Centers for Medicare & Medicaid Services (CMS) approved the Medi-Cal managed care rates for state fiscal year (SFY) 2017-18. Even though CMS has never denied a California managed care rate package, its approvals can take on average between one and two years. Unfortunately, with the SFY 2017-18 managed care rates there was a contractual issue that significantly delayed CMS approval and required more than four years to resolve. Copies of the federal approval letters are available on CHA’s Hospital Fee Program web page under Program 5.  

Key COVID-19 Flexibilities Extended Indefinitely

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If there’s one thing the COVID-19 pandemic has taught us, it’s that we must be prepared for the unexpected. When hospitals were asked — time and again — to respond to this crisis, to rapidly expand their physical and workforce capacity, they needed critical flexibilities on a number of state regulations. 

Updates for the Week of June 20

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The Centers for Medicare & Medicaid Services issued the following updates this week:​​​​

DHCS Announces Two-Week Fee-for-Service Checkwrite Hold for Some Services and Programs

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On June 16, the Department of Health Care Services announced through a Medi-Cal provider newsflash that fee-for-service payments for certain services and programs that were scheduled to be paid at the end of June will be held until early July. This delay does not apply to services provided in Medi-Cal managed care. 

No Surprises Act: Implementation Update and Lessons Learned

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This post has been archived and contains information that may be out of date.Join the webinar and learn more about how to use the resources available, and listen to updates on the NSA as well as lessons learned to date.

Updates for the Week of June 13

This post has been archived and contains information that may be out of date.

The Centers for Medicare & Medicaid Services issued the following updates this week:​​​​