CHA News

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

For CEOs, CFOs

This post has been archived and contains information that may be out of date.

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.