On-Demand Learning

CalAIM Long-Term Care Carve-In — Participant Information

Program originally recorded February 3, 2023.

To increase access to comprehensive care coordination, care management, and a broad array of services for Medi-Cal beneficiaries, CalAIM is standardizing Medi-Cal Long-Term Care (LTC) across the state. Effective January 1, all managed care plans must authorize and cover medically necessary LTC services at Skilled Nursing Facilities.  

We know you have questions about these changes. CHA is hosting this webinar and has invited the Department of Health Care Services (DHCS) to explain what this transition means for Skilled Nursing Facilities. 

Topics covered include: 

  • Authorization processes, including transportation coordination, and MCPs responsibilities 
  • Per diem rates for routine services 
  • Continuity of care requirements 
  • Care management and care coordination 

DHCS will provide a rundown of all the details you need to know and will be available to answer any questions you may have.

Pat Blaisdell, FACHA
Vice President, Policy
California Hospital Association

Pat Blaisdell provides membership support and advocacy for hospital-based post-acute care and case management services, including policy analysis and interpretation, communication with regulatory bodies and third-party payers, and planning and implementation of educational programs. Pat has more than 25 years of experience in hospital and health care management in acute and post-acute settings and has expertise in clinical operations and reimbursement across the post-acute continuum of care. 

Bambi Chris Cisneros
Assistant Deputy Director for Managed Care
DHCS, Health Care Delivery Systems
Bambi Cisneros has over nine years of State of California experience with the Department of Health Care Services (DHCS) and currently serves as the Assistant Deputy Director for Managed Care, Health Care Delivery Systems (ADD-MC, HCDS). In this role, Bambi supports the planning, implementation, coordination, and management of the program and policies associated with California’s Medi-Cal managed care plans (MCPs) and the managed care delivery system to ensure that Medi-Cal beneficiaries have access to high quality care.

Tracy Meeker
Senior Consultant
Department of Health Care Services
Tracy Meeker has 25 years of progressive responsibility in project management, business intelligence, and data integration in the commercial health insurance industry and government health care consulting, including over 15 years of Medi-Cal and other state Medicaid programs. She has supported the Cal MediConnect demonstration project as a subject matter expert, and continues supporting DHCS with several CalAIM initiatives, including the Long-Term Care carve in.

For additional assistance and other inquiries, email CHA’s Education Department at education@calhospital.org.