Update: Providers to Report PPCs Using DHCS Secure Online Portal
June 6, 2017
A previously published NewsFlash and May 2017 Medi-Cal Update notified providers that the Department of Health Care Services (DHCS) will no longer accept paper forms for reporting provider-preventable conditions (PPCs) effective June 1, 2017. However, this change will be effective July 1, 2017. This information has been updated in the article below:
Effective July 1, 2017, the Department of Health Care Services (DHCS) will no longer accept paper forms for reporting provider-preventable conditions (PPCs). DHCS began accepting online reporting of PPCs for Medi-Cal on April 3, 2017. The development of secure online submission is in response to provider requests to make PPCS reporting easier. This new online process replaces the paper Medi-Cal Provider-Preventable Conditions (PPC) Reporting Form (DHCS 7107). The secure online reporting portal is available on the Instructions for online reporting of PPCs web page of the DHCS website.
Providers must report health care-acquired conditions (HCACs) when they occur in an acute hospital inpatient setting, and report other provider-preventable conditions (OPPCs) when they occur in any health care setting, according to state law in Welfare and Institutions Code (W&I Code), Section 14131.11 as well as the Code of Federal Regulations (CFR) Title 42, Sections 434, 447 and 438. Providers must report the occurrence of any PPC for any Medi-Cal patient that did not exist prior to the provider initiating treatment, even if the provider will not seek Medi-Cal reimbursement to treat the PPC.
More information about PPC reporting requirements, PPC definitions and mandatory payment adjustments is available on the Medi-Cal Guidance on Reporting Provider-Preventable Conditions web page of the DHCS website. Providers may email questions about the new PPC process to PPCHCAC@dhcs.ca.gov.