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What’s happening: Payments for the 2022 Hospital Fee Program fee-for-service payment cycle 5 are due to the Department of Health Care Services (DHCS) on Sept. 25.
What else to know: Invoices were mailed to hospitals from DHCS on Sept. 5.
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What’s happening: Effective Jan. 1, 2025, Medi-Cal managed care plans (MCPs) must implement presumptive authorization arrangement with select providers of enhanced care management (ECM).
What else to know: The Department of Health Care Services (DHCS) is releasing updates to the ECM presumptive authorization policy parallel to the ECM Referral Standards that, together, are designed to ease the administrative burden of the referral and authorization process on ECM providers and community referral partners.
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What’s happening: The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course on the post-acute care (PAC) patient assessment instruments (PAI) and quality reporting programs (QRPs) for all PAC settings.
What else to know: The updated training provides a high-level overview of data elements within the patient/resident assessment instruments across PAC settings, including inpatient rehabilitation facilities (IRFs), skilled-nursing facilities (SNFs), long-term care hospitals (LTCHs), and home health (HH) agencies, and discusses the relationship between these data elements and the QRP for each setting.
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What’s happening: CHA is hosting a members-only webinar on Sept. 30 at 1 p.m. (PT) on new Medi-Cal reimbursement options for inpatient psychiatric care.
What else to know: During this webinar, expert speakers will describe new options for hospitals seeking reimbursement for the inpatient psychiatric care they provide to Medi-Cal beneficiaries. Registration is open.
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What’s happening: The Department of Health Care Access and Information’s (HCAI) Office of Statewide Hospital Planning and Development (OSHPD) is hosting a webinar to share updates about its review process for hospital construction projects.
What else to know: The webinar is scheduled for Sept. 25 at 1 p.m. (PT) and is free. Registration is open.
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What’s happening: The departments of the Treasury, Labor, and Health and Human Services have finalized rules to improve access to mental health services by requiring health plans to make changes when inadequate access is provided.
What else to know: The final rule reinforces the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which requires health plans to ensure that access to mental health or substance use disorder care is not more restrictive than access to medical and surgical benefits.
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What’s happening: CHA DataSuite issued hospital-specific analyses of the federal fiscal year (FFY) 2025 Medicare skilled-nursing facility (SNF) and long-term care hospital (LTCH) prospective payment system (PPS) final rules.
What else to know: The analyses are intended to show hospitals how Medicare fee-for-service payments would change from FFY 2024 to FFY 2025 based on the policies set forth in the final rules.
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With less than two months before America selects its next president, Congress has returned to Washington, D.C., to consider a federal funding plan, with action required before Sept. 30 to avoid a government shutdown. Given it is an election year, a shutdown is unlikely, and Congress will need to take temporary actions to keep programs operating.
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Last week, California’s Legislature concluded its 2024 session, with hundreds of bills now headed to Gov. Newsom for his signature or veto.