Programa ng Karagdagang Reimbursement ng Mga Serbisyo ng Pampublikong Ospital sa Outpatient
Pangkalahatang-ideya ng Programa
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:
- Magbigay ng mga serbisyo sa mga benepisyaryo ng Medi-Cal.
- 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.
- Pagmamay-ari o pinamamahalaan ng isang lungsod, county, lungsod at county, ang University of California, health care district na inorganisa alinsunod sa Kabanata 1 ng Dibisyon 23 (nagsisimula sa Seksyon 32000) ng Health and Safety Code, o awtoridad ng ospital na inilarawan sa Seksyon 101850 o 101852, et seq., ng Health and Safety Code.
Mga Liham ng Patakaran at Pamamaraan
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