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DHCS Releases Hospital-Directed Payment Encounter Data Sets

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On Friday, the Department of Health Care Services (DHCS) released three new hospital-directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days).   

The data cover:   

  • Bridge Period 2019-20 Phase 3 (July 1-Dec. 31, 2020, service dates). The name of the file will be Name_BP1920P3.  
  • Calendar Year 2021 Phase 1 (Jan. 1-June 30, 2021, service dates). The name of the file will be Name_CY2021P1.  
  • Calendar Year 2021 Phase 2 (July 1-Dec. 30, 2021, service dates). The name of the file will be Name_CY2021P2.  

Important Update   

The data file with Bridge Period 2019-20 Phase 3 (July 1-Dec. 31, 2020) is the “first pass” at identifying contract status. This contract flagging status file is due no later than close of business on Jan. 21, 2022. As a reminder, the final due date for any new or edited encounter data to be submitted to DHCS for consideration within the bridge period Phase 3 calculation is Dec. 31, 2021.  

Reminder: This is an important step in the state’s effort to calculate managed care directed payments that are expected to process in September 2022. Any encounters that are not accurately populated with a contract status flag (“C” indicates contracted, “N” indicates non-contracted, and “H” indicates a hospital-to-hospital contract) will be defaulted by DHCS to “N” — non-contracted — and will not count toward any directed payments. 

DHCS Issues Hospital Fee Program CY 2021 Passthrough Invoices

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Last week, the Department of Health Care Services (DHCS) issued invoices to hospitals associated with the managed care calendar year (CY) 2021 passthrough cycle. Since the CY 2021 time period crosses over two state fiscal years, the DHCS team labeled these invoices as “MC2 PT and MC3 PT.”

Sequester Deal Provides Critically Important Relief for California Hospitals

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This week, the U.S. House and Senate came to an important bipartisan, bicameral agreement to support hospitals and other providers as they continue to reel from the financial devastation of the COVID-19 pandemic — all while bracing for the potential of another surge due to the omicron variant. It has passed in the House of Representatives, and the Senate is expected to vote on it today or tomorrow. 

Updates for the Week of Dec. 6

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

Sarah Krevans Elected 2022 Chair of CHA Board of Trustees

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This post has been archived and contains information that may be out of date.SACRAMENTO (December 8, 2021) — Sarah Krevans, President & CEO of Sutter Health, has been elected 2022 chair of the California Hospital Association’s Board of Trustees. Krevans, who has served in her current role since 2016, leads the health system’s 23 hospitals, […]

Terry’s House offers comfort, support at home-away-from-home

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When a critically ill or injured patient needs a hospital stay, family is usually close behind. Sometimes they must travel long distances to be near their loved one, but endless hours on the road, expensive hotel stays, and the stress of not always being nearby can get in the way. 

CHA, CMA Urge Congress to Eliminate or Delay Upcoming Medicare Cuts

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This post has been archived and contains information that may be out of date.CHA and the California Medical Association (CMA) today sent a joint letter to the California congressional delegation urging Congress to eliminate or delay Medicare cuts that are scheduled to go into effect on Jan. 1, 2022.   CHA and CMA asked delegation members to support legislation that would both extend the moratorium on the […]