公立醫院門診服務補充補償計劃
專案概覽
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:
- 為中醫服務受益人提供服務。
- 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.
- 由根據《健康和安全守則》第 23 部第 1 章(從第 32000 條開始)組織的城市、縣、城市和縣、加州大學醫療保健區擁有或經營,或《健康與安全守則》第 101850 或 101852 及以下條所述的醫院機關。
政策及程序信
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