Public Hospital Outpatient Services Supplemental Reimbursement Program
Txoj Haujlwm Saib Xyuas
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:
- Muab kev pabcuam rau cov neeg tau txais txiaj ntsig 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.
- Muaj lossis ua haujlwm los ntawm lub nroog, lub nroog, nroog thiab lub nroog, University of California, cheeb tsam saib xyuas kev noj qab haus huv tau teeb tsa raws li Tshooj 1 ntawm Division 23 (pib nrog Tshooj 32000) ntawm Txoj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb, lossis lub tsev kho mob cov cai tau piav qhia hauv Tshooj 101850 lossis 101852, thiab seq., ntawm Txoj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb
Tsab ntawv txoj cai thiab txheej txheem
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