What’s happening: Last week, the state Emergency Medical Services (EMS) Commission met and approved regulations focused on Assembly Bill 40 (2023) and Chapter 6 Specialty Care Designation and discuss the statewide ambulance patient offload time (APOT) report.
(more…)CHA Advocacy Strengthens APOT Audit Tool Responsibilities in Final Regulations
Hospitals Must Complete Occupational Mix Survey by June 30
What’s happening: Hospitals are required to complete the new occupational mix survey for the federal fiscal year (FFY) 2028 wage index and submit it to their Medicare Administrative Contractor by June 30.
(more…)Two Hospital-Specific Quality Analyses Available from CHA DataSuite
What’s happening: CHA DataSuite has issued hospital-specific analyses of the Value-Based Purchasing (VBP) Program and the Hospital-Acquired Condition (HAC) Reduction Program for federal fiscal year (FFY) 2027.
(more…)Tool Available to Help Hospitals Find Partners to Secure Rural Health Funding
As California’s rural hospitals work to secure funding via the federal Rural Health Transformation Program (RHTP), a new tool is available to help them find partners to prepare their grant proposals.
(more…)Hospital Field Urges OHCA Board to Reject Ruinous Penalties
What’s happening: Organizations representing nearly 150 hospitals wrote or commented at this week’s Office of Health Care Affordability (OHCA) board meeting asking the board to reject OHCA’s proposed penalties, which could be in the hundreds of millions of dollars for even a single-year violation of the spending targets. Hospitals shared the disastrous consequences such exorbitant penalties would have on their ability to care for patients and reminded OHCA of its duty to protect access to care as it promotes improved affordability.
(more…)In Latest Budget Proposal, Lawmakers Prioritize Californians
This week, the Legislature advanced its own version of the state budget in a suite of bills that take critical steps toward shoring up health care across California.
(more…)Summaries Detail Changes to Medicaid Payments, Work Requirements
What’s happening: CHA is sharing two analyses prepared by Health Policy Alternatives (HPA) that cover Medicaid rules on directed payments and targeted supplemental payments as well as the implementation of community engagement (work requirement) provisions.
(more…)Immediate Action Needed for Prescribers: Ensure Enrollment as Medi-Cal FFS Provider
What’s happening: Claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier. Prescribers not yet enrolled should immediately submit their Medi-Cal provider enrollment application via the Provider Application and Validation for Enrollment page.
(more…)Reminder: Include ICD-10-CM Diagnosis Codes on Medi-Cal Rx Claims
What’s happening: As a reminder, ICD-10-CM diagnosis codes will be required for Medi-Cal Rx claims starting this fall.
(more…)HCAI Updates Advisory Guide on Functional Program
What’s happening: The Department of Health Care Access and Information has released an updated version of the Advisory Guide on Functional Program.
(more…)