Directed Payments Designated Public Hospital Enhanced Payment Program
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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).
MCPの皆様、このプログラムに関するマネージドケアに関するご質問は、 PlanDP@dhcs.ca.gov のHospital Directed Paymentチームにお問い合わせください。
Providers, for any managed care questions regarding this program, please reach out to the Hospital Directed Payment team at PublicDP@dhcs.ca.gov.
指定公立病院のキャピテーテッドペイメント
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 2021 (January 1, 2021 – December 31, 2021)
ブリッジ期間( 1年7月 2019 日〜 31年12月 2020日)
- ブリッジ期間 2019年7月1日-2020年12月31日 EPP CAPのみ プレプリント
- ブリッジ期間 2019年7月1日-2020年12月31日 EPP CAPのみ プレプリント承認書
- ブリッジ期間EPPプログラム評価
SFY (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 Directed Payments DPH Capitated プレプリント
- SFY 2018/2019 California DPH Capitated Uniform Direct Payment – Approval Letter
- 2018/2019年度 Directed Payment Evaluation(有向支払評価)
SFY (July 1, 2017 – June 31, 2018)
- SFY 2017/2018 Directed Payments、DPH、Capitated、プレプリント
- SFY 2017/2018 California DPH Capitated Uniform Direct Payment – Approval Letter
- 2017/2018年度 Directed Payment Evaluation(有向支払評価)
指定公立病院FFS支払い
CY 2023 (January 1, 2023 – December 31, 2023)
CY 2022 (January 1, 2022 – December 31, 2022)
CY 2021 (January 1, 2021 – December 31, 2021)
ブリッジ期間( 1年7月 2019 日〜 31年12月 2020日)
SFY (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 Directed Payments、DPH、FFS、プレプリント
- SFY 2018/2019 DPH FFS Uniform Direct Payment – Approval Letter
- 2018/2019年度 Directed Payment Evaluation(有向支払評価)
SFY (July 1, 2017 – June 31, 2018)
- 2017/2018年度 Directed Payments DPH FFS プレプリント
- SFY 2017/2018 DPH FFS Uniform Direct Payment – Approval Letter
- 2017/2018年度 Directed Payment Evaluation(有向支払評価)