공립 병원 외래 환자 서비스 추가 환급 프로그램
프로그램 개요
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 수혜자에게 서비스를 제공합니다.
- 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.
- 시, 카운티, 시 및 카운티, 캘리포니아 대학교, 보건안전법 제23장 1절(제32000조로 시작)에 따라 조직된 보건의료구 또는 보건안전법 제101850조 또는 제101852조에 명시된 병원 기관이 소유 또는 운영하는 경우.
정책 및 절차 안내문
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