Hospital Value Strategy (RFI #25-082)

The Department of Health Care Services (DHCS) is releasing this Request for Information (RFI) #25-082 to gather information from entities in preparation to develop a comprehensive value strategy for Medi-Cal hospital service reimbursement.

DHCS proposes to develop, publish, implement, and sustain a comprehensive value strategy for hospital payments that is designed to sustainably advance access to high-quality inpatient and outpatient hospital services, financially incentivize appropriate care delivery and improve health outcomes for Medi-Cal members. This value strategy will enable DHCS to manage Medi-Cal reimbursement for hospitals services while exercising prudent fiscal stewardship with respect to these programs and implementing long-lasting, balanced solutions in alignment with Medi-Cal's comprehensive quality strategy, federal Medicaid requirements and guidance, and the economic and efficient provisioning of services in the Medi-Cal program.

Questions regarding this RFI should be submitted via email to: PCDRFI2@dhcs.ca.gov