CHA News

CHA Submits Comments to DHCS on Draft Enhanced Care Management and In-Lieu-of-Services Requirements

For CEOs, CFOs

CHA has submitted comments to the Department of Health Care Services (DHCS) on the draft Enhanced Care Management (ECM) and In-Lieu-of-Services (ILOS) requirements.  

In the letter, CHA noted specific areas of concern. They include:  

  • Lack of consistency in new benefits: The proposed implementation of both ECM and ILOS will lead to significant variability in the Medi-Cal managed care benefit throughout the state.  
  • Enhanced oversight needed: The proposed level of reporting described in the contract template is not sufficiently comprehensive nor detailed enough to provide meaningful oversight.  
  • Clarify the managed care plan’s financial obligations: The proposed contract fails to fully address the Medi-Cal managed care financial obligations associated with the expanded responsibility.  

On April 6 from 10 to 11:30 a.m. (PT), CHA will host a webinar to detail the California Advancing and Innovating Medi-Cal (CalAIM) initiatives, which recognize that both ECM and ILOS are foundational components and will have a tremendous impact on hospitals. The CalAIM initiative — originally scheduled for Jan. 1, 2021, implementation — has an updated implementation timeline of Jan. 1, 2022.