CMS Approves SFY 2018-19 Medi-Cal Managed Care Rates
On June 23, the Centers for Medicare & Medicaid Services approved the Medi-Cal managed care rates for state fiscal year (SFY) 2018-19.
On June 23, the Centers for Medicare & Medicaid Services approved the Medi-Cal managed care rates for state fiscal year (SFY) 2018-19.
On June 25, President Biden signed the Bipartisan Safer Communities Act – which aims to reduce gun violence and expand access to behavioral health services — into law.
The Centers for Medicare & Medicaid Services has issued new No Surprises Act frequently asked questions (FAQs).
The Department of Health Care Services has provided updated information on treatment authorization request (TAR) criteria for acute inpatient rehabilitation.
The Centers for Medicare & Medicaid Services (CMS) has issued its calendar year (CY) 2023 end stage renal disease (ESRD) proposed rule. Comments on the proposed rule are due 60 days from the date the rule is published in the Federal Register.
The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the home health (HH) prospective payment system for calendar year (CY) 2023.
CHA would like to remind members of several key dates related to the Provider Relief Fund (PRF).
CHA DataSuite has issued a hospital-specific analysis of the Medicare hospital federal fiscal year (FFY) 2024 preliminary wage index and occupational mix data.
On June 22, the Department of Health Care Services (DHCS) and its Medi-Cal Rx contractor Magellan announced that effective July 22 , pharmacy claim edits for diagnosis and drug utilization review (DUR) requirements will be reinstated.
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.