This week, ourIn Focussection reviews the California request for information (RFI) regarding the Medi-Cal Managed Care Plan (MCP) contract and the upcoming Medi-Cal MCP procurement. The California Department of Health Care Services (DHCS) is seeking information to update boilerplate contracts and ...
Medi-Cal Managed Care Plan Enrollment Assistance Emergency Readoption Package - Approved 9-20-17 Medi-Cal Managed Care Enrollment Assistance Program - Approved 04-27-15 Notices: Notice of Proposed Permanent Rulemaking (09-06-2019) Advance Notice of Intent to Adopt Emergency Regulation - Medi-Cal ...
Keeping patients out of the ER, which can be12 times as expensiveas primary care, is one of the arguments for expanding Medi-Cal. Studies have shown that not only does expanding health coverage lead to lower rates of ER visits, but expanding coverage also leads to patients using preventive ...
SB 923 requires healthcare service plans, health insurers, Medi-Cal managed care plans, and PACE organizations to engage in workforce cultural competency training. Key training elements include: Adopting inclusive communication techniques by using TGI-inclusive terminology and ensuring respectful, affirmin...
Inland Empire Health Plan (IEHP) is a wellness-focused, Medi-Cal managed care plan serving residents in the Inland Empire (IE) region. It was established in 1994 as the region’s Medi-Cal plan. Today, IEHP also offers metallic plans, including a low-cost silver plan, through Covered ...
“There are serious concerns about Medi-Cal (health care) plans being able to implement…the work necessary for CalAIM to really be effective.” — Diana Douglas, Health Access California Alameda and Contra Costa counties, which contracted with Bay Area Legal Aid to participate in the pilot, ...
Though the state has raised Medi-Cal payments forprimary care,maternity care, andmental health servicesto 87.5% of what Medicare pays, private insurance still tends to pay more, according to the California Legislative Analyst's Office. A ballot initiative approved this month guarantees that revenue ...
In response,state officialssay they are trying to expand the use of Medi-Cal, the state's Medicaid program, which covers low-income people, to help pay for navigators by nudging managed-care plans to cover such services. Officials said the state is also trying to secure additional federal gr...
Researchers at the University of California, San Diego set out to (1) examine Medi-Cal's Managed Care plans' progress in implementing each section of All Plan Letter 16-014, (2) understand various factors related to implementation of the All Plan Letter, and (3) make recommendations to ...
Given the growing prevalence of Alzheimer's Disease and related dementias, and the intensity of this population's care needs, it is imperative that health plans (HPs) increase their dementia-capability. The Dementia Cal MediConnect (Dementia CMC) project proposes an innovative model of health care...