CHA News Article

DHCS Releases Hospital-Directed Payment Encounter Data File

The Department of Health Care Services (DHCS) has released three new hospital-directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days). 

The data cover: 

  • State fiscal year 2018-19 Phase 2 (January 1, 2019 – June 30, 2019 service dates)  
  • Bridge Period 2019-20 Phase 1 (July 1, 2019 – December 31, 2019 service dates)  
  • Bridge Period 2019-20 Phase 2 (January 1, 2020 – June 30, 2020 service dates)  

Important notes: 

  • State fiscal year 2018-19 Phase 2 (January 1, 2019–June 30, 2019, service dates). This file is the first pass at identifying contract status. This contract flagging status file will be due to the state no later than close of business on July 17.  
  • Bridge Period 2019-20 Phase 1 (July 1, 2019–December 31, 2019, service dates). To be considered in the hospital-directed payment calculations for this time period, any new or revised encounters must be submitted to DHCS by December 31, 2020, for Bridge Period 2019-20 Phase 1. 
  • Bridge Period 2019-20 Phase 2 (January 1, 2020 – June 30, 2020, service dates). To be considered in the hospital-directed payment calculations for this time period, any new or revised encounters must be submitted to DHCS by June 30, 2021, for Bridge Period 2019-20 Phase 2. 

Reference documents: 

Private Hospital Directed Payment Program SFY 2017-18 & SFY 2018-19, V. September 18, 2019 

DHCS’ December 12, 2018, webinar on Contract Data 

DHCS’ Bill Type Logic 

Commands