Directed Payments Designated Public Hospital Enhanced Payment Program
Rov qab mus rau 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, rau cov lus nug txog kev tswj xyuas txog qhov kev pab cuam no, thov hu rau Tsev Kho Mob Pab Neeg Them Nqi Them 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.
Kev Them Nqi Them Nqi Them Pej Xeem Pej Xeem (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 Daim Ntawv Pom Zoo
- CY 2022 EPP Direct Payment Preprint
- CY 2022 EPP Evaluation Report
CY 2021 (January 1, 2021 – December 31, 2021)
- CY 2021 DPH EPP CAP Tsuas yog Daim Ntawv Pom Zoo Ua Ntej Ua Ntej
- CY 2021 DPH EPP CAP Tsuas yog Preprint
- CY 2021 DPH EPP Evaluation Report
Choj Lub Sijhawm (Lub Xya Hli 1, 2019 - Kaum Ob Hlis 31, 2020)
- Choj Lub Sijhawm 7/1/2019-12/31/2020 EPP CAP Tsuas Ua Ntej
- Choj Lub Sijhawm 7/1/2019-12/31/2020 EPP CAP Tsuas Muaj Daim Ntawv Pom Zoo Ua Ntej
- Choj Lub Sijhawm EPP Kev Ntsuas Kev Ntsuas
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 Qhia Them Nyiaj DPH Capitated Preprint
- SFY 2017/2018 California DPH Capitated Uniform Direct Payment – Approval Letter
- SFY 2017/2018 Kev Ntsuam Xyuas Kev Them Nyiaj Qhia
Kev Them Nqi Kho Mob Pej Xeem FFS
CY 2023 (January 1, 2023 – December 31, 2023)
CY 2022 (January 1, 2022 – December 31, 2022)
- CY 2022 EPP FFS Tsuas Ntawv Pom Zoo
- CY 2022 EPP FFS Tsuas yog Preprint
- CY 2022 EPP Evaluation Report
CY 2021 (January 1, 2021 – December 31, 2021)
Choj Lub Sijhawm (Lub Xya Hli 1, 2019 - Kaum Ob Hlis 31, 2020)
- Choj Lub Sij Hawm EPP FFS Tsuas yog Preprint
- Choj Lub Sijhawm EPP FFS Tsuas yog Daim Ntawv Pom Zoo Ua Ntej
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 Qhia Them Nyiaj DPH FFS Preprint
- SFY 2017/2018 DPH FFS Uniform Direct Payment – Approval Letter
- SFY 2017/2018 Kev Ntsuam Xyuas Kev Them Nyiaj Qhia