Directed Payments Designated Public Hospital Enhanced Payment Program
返回定向付款
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,如果对该计划有任何管理式医疗问题,请联系医院定向支付团队PlanDP@dhcs.ca.gov 。
Providers, for any managed care questions regarding this program, please reach out to the Hospital Directed Payment team at PublicDP@dhcs.ca.gov.
指定公立医院按人头付费
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)
过渡期(7 月1 、 2019至 12 月31 、 2020 )
- 过渡期 2019 年 7 月 1 日至 2020 年 12 月 31 日 EPP CAP 仅限预印本
- 过渡期 2019 年 7 月 1 日至 2020 年 12 月 31 日 EPP CAP 仅限预印批准函
- 桥梁期 EPP 计划评估
SFY (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 定向付款 DPH 按人头计算预印本
- SFY 2018/2019 California DPH Capitated Uniform Direct Payment – Approval Letter
- 2018/2019 财年定向付款评估
SFY (July 1, 2017 – June 31, 2018)
- 2017/2018 财年定向付款 DPH 按人头计算预印本
- SFY 2017/2018 California DPH Capitated Uniform Direct Payment – Approval Letter
- 2017/2018 财年定向付款评估
指定公立医院按月付费
CY 2023 (January 1, 2023 – December 31, 2023)
CY 2022 (January 1, 2022 – December 31, 2022)
CY 2021 (January 1, 2021 – December 31, 2021)
过渡期(7 月1 、 2019至 12 月31 、 2020 )
SFY (July 1, 2018 – June 30, 2019)
- SFY 2018/2019 定向付款 DPH FFS 预印本
- SFY 2018/2019 DPH FFS Uniform Direct Payment – Approval Letter
- 2018/2019 财年定向付款评估
SFY (July 1, 2017 – June 31, 2018)
- SFY 2017/2018 定向付款 DPH FFS 预印本
- SFY 2017/2018 DPH FFS Uniform Direct Payment – Approval Letter
- 2017/2018 财年定向付款评估