Search Results for:

Showing 61 - 70 of 74 results

Children’s Behavioral Health Services Lack Timely Access

This post has been archived and contains information that may be out of date.

What’s happening: The California State Auditor recently investigated children’s access to Medi-Cal-covered behavioral health services.  

What else to know: The auditor concluded that many Medi-Cal health plans were out of compliance with state requirements for timely care and that the Department of Health Care Services (DHCS) is not adequately disciplining health plans.

Updated Guide on Final Rule Implementation Now Available

This post has been archived and contains information that may be out of date.

What’s happening: A members-only guide from the American Hospital Association to support hospitals in the implementation of the Medicare Advantage (MA) final rule is now available for calendar year 2024.  

What else to know: The document provides a summary of key provisions of the final rule, which seeks to align MA coverage with traditional Medicare more clearly and to increase oversight of MA plans.  

Growing Discharge Delays Leading to Hospital Overcrowding, Other Problems

This post has been archived and contains information that may be out of date.

California hospital patients are experiencing frequent, lengthy, and costly delays in care transitions. That’s the finding of a new CHA member survey investigating the extent and impact of discharge delays in three key hospital settings: emergency departments (EDs), general acute care, and inpatient psychiatric care.   

DHCS Issues Updated 2024 Medi-Cal Managed Care Plan Transition Policy Guide

This post has been archived and contains information that may be out of date.

On Sept. 29, the Department of Health Care Services (DHCS) released an updated 2024 Medi-Cal Managed Care Plan (MCP) Transition Policy Guide. It includes the new MCP Transition Monitoring and Oversight Policy and new transition-related requirements for incentive programs, as well as updates to all other sections of the policy guide. It also contains DHCS policy and related MCP requirements related to member transitions among Medi-Cal MCPs that take effect on Jan. 1, 2024. 

Progress on Stopping Unfair Payment Practices

This post has been archived and contains information that may be out of date.

Late last week, the state regulatory agency that oversees health plans issued a sweeping letter to every plan in California making it clear that unfair payment practices must cease.