Kaweah Delta to Legislators: Yes On Managed Care Organizations Bill
VISALIA, CALIF. – The Kaweah Delta Health Care District calls upon
Senator Jean Fuller, Senator Andy Vidak, and Assemblyman Devon Mathis
to vote AYE on the Managed Care Organizations bill package to avoid devastating
impacts to our community.
The Managed Care Organizations (MCO) bill package would eliminate the “clawback,”
or retroactive recoupment of reimbursement for services provided by DP/SNFs
(distinct part skilled nursing facilities). Eliminating the clawback would
provide approximately $6 million for DP/SNFs in the legislators’
districts throughout California and approximately $800,000 of reimbursement
associated with delivery of patient care at Kaweah Delta’s skilled
“We need to restore the funding to these critical facilities that
service primarily vulnerable Medi-Cal patients,” said Lindsay K.
Mann, Chief Executive Officer of Kaweah Delta Health Care District. “If
this bill package fails to pass, it will have a devastating impact on
our community and, specifically, our ability to offer skilled nursing
Due to 2011’s AB97, the reimbursement to DP/SNFs was reduced to 90
percent of 2008-2009 rates. Fortunately, 2013’s SB239 restored DP/SNFs
funding effective Oct. 1, 2013. However, the potential lost reimbursements
from 2011 to 2013 continue to hurt our hospitals and patients.
“This MCO package will directly help some of our most vulnerable
patients,” Mann said. “Not only is it good for our hospitals
and our patients, it’s a good fiscal policy for the state. With
all of this in mind, I ask Senator Jean Fuller, Senator Andy Vidak, and
Assemblyman Devon Mathis to support the MCO package.”
The MCO package is expected to come up for a vote in the California Legislature
early in the week of Feb. 29.
"The Kaweah Delta Transitional Care facility, in part with Kaweah
Delta Health Care District in Visalia, is one of the most advanced hospitals
in the Central Valley with more than 4,000 doctors, nurses, and other
staff," Mann said. "If this skilled nursing facility had closed,
many family members may have found it nearly impossible to arrange for
care or visit their loved ones who need long-term care."