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DHCS Issues 5th Supplemental Fee-for-Service Payment for 2017-19

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On March 16, the Department of Health Care Services (DHCS) issued the fifth supplemental fee-for-service (FFS) payment related to the 2017-19 Hospital Fee Program, representing the approximate 25% shortfall that occurred with the FFS Cycle 5 payment in May 2018. In recognition of the challenges hospitals are currently experiencing with the coronavirus pandemic, DHCS has agreed to move up the sixth FFS reconciliation payment  — originally scheduled for May 18  — to the end of March, processing through EFT on April 6.

CEO Message: All the ‘Other’ Important Things

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Coronavirus continues to spread quickly throughout the nation, and the death toll from the virus is rising. Those who work in health care and at our hospitals are truly heroes, stepping up in a way that deserves our gratitude and admiration. 

Life in hospitals right now is volatile and hectic, as other segments of life seemed to have slowed down: auto manufacturers have closed plants; conference calls rather than meetings are the order of the day; the state Legislature is on hiatus until at least April 13.  

State and Federal Activity

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Governor’s State of Emergency Declaration
Department of Health Care Services Requests Second 1135 Waiver Request

CHA Publications App

Trusted Insights Anytime, Anywhere The CHA Publications App puts health care’s most trusted legal resources at your fingertips with there-and-back cross-reference links, enriched search performance, and easy navigation in mobile and desktop environments. All CHA Publications are in the app, including CHA’s Consent, Privacy, Compliance, EMTALA and Survey manuals, plus quick reference guides, sample forms, […]

​Congressional Spending Package to Address Novel Coronavirus

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On March 4, Congressional leaders reached a deal on an $8.3 billion spending package to combat the novel coronavirus. The Senate subsequently passed the measure, and the President has signed it.

The bill, H.R. 6074 (116), provides new discretionary spending to bolster vaccine development, research, equipment stockpiles, and state and local health budgets. Key components are:

$400 million will be sent to state and local governments within 30 days after the bill is enacted, with each state receiving at least $4 million.
$490 million in mandatory spending by lifting constraints on Medicare payments for telehealth so beneficiaries can freely consult their doctors remotely — avoiding hospitals and physicians’ offices, where they might risk exposure to the virus
$836 million to the National Institute of Allergy and Infectious Diseases for research and development of vaccines, therapeutics, and diagnostics
$10 million will be allocated to worker-based training to prevent and reduce exposure for hospital employees, emergency first responders, and other workers on the front lines.
$3.1 billion to shore up medical supplies and supplement the Strategic National Stockpile, including:        

$100 million for community health centers
$826 million for the National Institute of Allergy and Infectious Diseases for the development of coronavirus vaccines, treatments, and tests
$2.2 billion for the Centers for Disease Control and Prevention, including $950 million to support the response efforts of state and local health agencies; about half of that must be allocated in the next 30 days.
$61 million for the FDA for vaccines and other efforts to counter the virus, keeping up with shortages in medical products, and efforts to boost U.S. manufacturing of those items

$1.3 billion for the State Department and the United States Agency for International Development for aiding the global fight against the virus
Raises the cap from $10 million to $100 million for emergency evacuations
$20 million to the Small Business Administration to increase the number of loans for businesses affected by the outbreak
$136 million to replace funds recently shifted from various health accounts, including mental health and substance abuse programs

CHA will continue to work with members of the California congressional delegation to respond to member hospitals’ needs.

Governor’s State of Emergency Declaration

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On March 4, Gov. Newsom declared a state of emergency based on the rising number of novel coronavirus cases in the state. The declaration makes additional resources available, formalizes emergency actions already underway across multiple state agencies and departments, and is intended to help the state prepare for broader spread of COVID-19.

The declaration includes several requests CHA made on behalf of hospitals, including:

Allowing the California Department of Public Health (CDPH) to suspend health facility licensing statutes and regulations upon approval by the CDPH Director

Allowing out-of-state practitioners to work in California without additional state licensure, upon approval by the Emergency Medical Services Authority director

Extending disability benefits to health care workers who are unable to work due to having or being exposed to COVID-19

Allowing hospitals to provide child care without a day care license, provided they receive a waiver from the Department of Social Services

CHA also requested specific items related to rest period penalties, unemployment benefits for furloughed workers, and expedited enrollment for practitioners in Medi-Cal that are not included in the declaration of emergency.

Governor’s State of Emergency Declaration

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

On March 4, Gov. Newsom declared a state of emergency based on the rising number of novel coronavirus cases in the state. The declaration makes additional resources available, formalizes emergency actions already underway across multiple state agencies and departments, and is intended to help the state prepare for broader spread of COVID-19.

The declaration includes several requests CHA made on behalf of hospitals, including:

Allowing the California Department of Public Health (CDPH) to suspend health facility licensing statutes and regulations upon approval by the CDPH Director
Allowing out-of-state practitioners to work in California without additional state licensure, upon approval by the Emergency Medical Services Authority director
Extending disability benefits to health care workers who are unable to work due to having or being exposed to COVID-19
Allowing hospitals to provide child care without a day care license, provided they receive a waiver from the Department of Social Services

CHA also requested specific items related to rest period penalties, unemployment benefits for furloughed workers, and expedited enrollment for practitioners in Medi-Cal that are not included in the declaration of emergency.

NEWS UPDATES

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CDPH Updates

March 10 CDPH Call With Hospitals

On March 10, the California Department of Public Health (CDPH) hosted a weekly call with health care providers. Highlights included:

Status updates

Webinar Recordings

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This post has been archived and contains information that may be out of date.  Coronavirus: Untangling Employee Safety Regulations and Guidance Click here to view the recording. Originally recorded March 18, 2020. Novel Coronavirus: Lessons from the Front Line Webinar Click  here to view the recording. Originally recorded March 11, 2020.