公立医院门诊服务补充报销计划
项目概述
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:
- 为 Medi-Cal 受益人提供服务。
- 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.
- 由城市、县、市县、加州大学、根据《健康与安全法规》第 23 部分第 1 章(从第 32000 节开始)组织的医疗保健区或《健康与安全法规》第 101850 或 101852 节等中所述的医院当局拥有或经营。
政策和程序信函
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