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Therapy Services and Rehab Center Regulatory Review

March 7, 2019
10:00  – 11:30 a.m., Pacific Time

The California Department of Public Health’s Center for Health Care Quality is seeking stakeholder input on possible changes to Title 22 state regulations for several areas relating to hospital provision of therapy, rehabilitation and other services.   Comments are due by March 22, 2019. 

For each therapy service area, Title 22 regulations include provisions addressing requirements for staff and staff supervision, space, and equipment and supplies. 

CMS Issues Guidance on Clinical Laboratory Fee Schedule Reporting Requirements

The Centers for Medicare & Medicaid Services (CMS) has issued additional guidance for laboratories that are required to report private payer data for laboratory tests under the clinical laboratory fee schedule (CLFS). CHA urges any hospital with a laboratory that bills Medicare on a Form CMS-1450 14x Type of Bill to carefully review the guidance to determine its status as an applicable laboratory.

‘Medi-Cal Explained’ Series Includes Resources on Beneficiaries, Services, Finances

A new informational series from the California Health Care Foundation explains various facets of the Medi-Cal program, including a program overview, challenges of program eligibility and enrollment, the process and challenges of payments to Medi-Cal managed care plans, the 2019 edition of Medi-Cal facts and figures, the intersection of Medi-Cal and behavioral health, and the Medi-Cal budget process.

The Business Case for Social Determinants of Health

How can understanding the underlying social risks impacting patient populations improve health outcomes AND save health plans some serious per-member-per-month costs? You’re probably familiar with the concept of ‘Social Determinants of Health’ (SDOH) but Dr.