Programa de Reembolso Suplementario de Servicios Ambulatorios de Hospitales Públicos
Program Visión general
The Public Hospital Outpatient Services Supplemental Reimbursement Program, also known as the Assembly Bill (AB) 915 Program, authorized by State Plan, Attachment 4.19-B, pages 46-50 and Welfare and Institutions Code 14105.96, provides supplemental reimbursement to eligible public acute care hospitals for outpatient (OP) fee-for-service (FFS) services provided to Medi-Cal beneficiaries.
To be eligible for supplemental reimbursement from the AB 915 program, a hospital must continuously meet the following characteristics during the Department’s rate year:
- Proporcionar servicios a los beneficiarios de Medi-Cal.
- Is an acute care hospital providing outpatient services. For purposes of this section, “acute care hospital” means the facilities described at subdivision (a) or (b), or both, of Section 1250 of the Health and Safety Code.
- Es propiedad o está operado por una ciudad, condado, ciudad y condado, la Universidad de California, distrito de atención médica organizado de conformidad con el Capítulo 1 de la División 23 (comenzando con la Sección 32000) del Código de Salud y Seguridad, o la autoridad hospitalaria descrita en la Sección 101850 o 101852, et seq., del Código de Salud y Seguridad.
Cartas de Políticas y Procedimientos
PPL 25-001: Public Hospital Outpatient Services Supplemental Reimbursement Program Policy for 340B Drugs, Blood Factors and Organ Acquisitions
PPL 25-002: Public Hospital Outpatient Services Supplemental Reimbursement Program Policy for COVID-19 Vaccines