District and Municipal Public Hospital Directed Payment (DHDP)
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Beginning with the Calendar Year (CY) 2023 rating period, the Department will direct Managed Care Plans (MCPs) to reimburse California's District and Municipal Public Hospitals for network contracted services delivered by DMPH systems, based on actual utilization of contracted services. The state will evaluate the extent to which enhanced payments are achieving the goals identified. The goal of this program is to improve preventative care for children, maternity care, and birth equity through increasing access to care. These may only apply to certain managed care categories of aid. The payments will be enhanced by either a uniform percentage or dollar increment. The total funding available for the enhanced network contracted payments will be limited to a predetermined amount (pool).
For all managed care questions regarding this program, please reach out to the Hospital Directed Payment team at DistrictDP@dhcs.ca.gov
CY 2023 (January 1, 2023 - December 31, 2023)
CY 2024 (January 1, 2024 - December 31, 2024)
CY 2025 (January 1, 2025 - December 31, 2025)
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