公立病院外来サービス補足償還プログラム
プログラム概要
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:
- Medi-Calの受益者にサービスを提供します。
- 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.
- 市、郡、市、郡、カリフォルニア大学、健康安全法のディビジョン23の第1章(セクション32000から始まる)に従って組織された医療地区、または健康安全コードのセクション101850または101852条以下に記載されている病院当局によって所有または運営されています。
ポリシーと手続きの手紙
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