Directed Payments Designated Public Hospital Enhanced Payment Program
Back to Directed Payments
Beginning with the State Fiscal Year (SFY) 2017-18 rating period, the Department will direct Managed Care Plans (MCPs) to reimburse California’s 21 DPHs for network contracted services delivered by DPH systems, enhanced by either a uniform percentage (“CA DPH Capitated Uniform”) or dollar increment based (“DPH FFS Uniform”) on actual utilization of network contracted services. The state will evaluate the extent to which enhanced payments are achieving the goals identified. These may only apply to certain managed care categories of aid. The payments will be enhanced by either a uniform percentage or a dollar increment. The total funding available for the enhanced network contracted payments will be limited to a predetermined amount (pool).
MCPs, for any managed care questions regarding this program, please reach out to the Hospital Directed Payment team PlanDP@dhcs.ca.gov.
Providers, for any managed care questions regarding this program, please reach out to the Hospital Directed Payment team at PublicDP@dhcs.ca.gov.
Designated Public Hospital Capitated Payments
CY 2025 (January 1, 2025 – December 31, 2025)
CY 2024 (January 1, 2024 – December 31, 2024)
CY 2023 (January 1, 2023 – December 31, 2023)
CY 2022 (January 1, 2022 – December 31, 2022)
- CY 2022 EPP Direct Payment Preprint Approval Letter
- CY 2022 EPP Direct Payment Preprint
- CY 2022 EPP Evaluation Report
CY 2021 (January 1, 2021 – December 31, 2021)
- CY 2021 DPH EPP CAP Only Preprint Approval Letter
- CY 2021 DPH EPP CAP Only Preprint
- CY 2021 DPH EPP Evaluation Report
Bridge Period (July 1, 2019 – December 31, 2020)
- Bridge Period 7/1/2019-12/31/2020 EPP CAP Only Preprint
- Bridge Period 7/1/2019-12/31/2020 EPP CAP Only Preprint Approval Letter
- Bridge Period EPP Program Evaluation
SFY (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 Directed Payments DPH Capitated Preprint
- SFY 2018/2019 California DPH Capitated Uniform Direct Payment – Approval Letter
- SFY 2018/2019 Directed Payment Evaluation
SFY (July 1, 2017 – June 31, 2018)
- SFY 2017/2018 Directed Payments DPH Capitated Preprint
- SFY 2017/2018 California DPH Capitated Uniform Direct Payment – Approval Letter
- SFY 2017/2018 Directed Payment Evaluation
Designated Public Hospital FFS Payments
CY 2023 (January 1, 2023 – December 31, 2023)
CY 2022 (January 1, 2022 – December 31, 2022)
CY 2021 (January 1, 2021 – December 31, 2021)
Bridge Period (July 1, 2019 – December 31, 2020)
SFY (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 Directed Payments DPH FFS Preprint
- SFY 2018/2019 DPH FFS Uniform Direct Payment – Approval Letter
- SFY 2018/2019 Directed Payment Evaluation
SFY (July 1, 2017 – June 31, 2018)
- SFY 2017/2018 Directed Payments DPH FFS Preprint
- SFY 2017/2018 DPH FFS Uniform Direct Payment – Approval Letter
- SFY 2017/2018 Directed Payment Evaluation