About Continuum of Care
Post-acute care — often provided at inpatient rehabilitation facilities, long-term care hospitals, skilled-nursing facilities, and at patients’ homes — is vital to the health care delivery system. These providers deliver essential medical and rehabilitative services following hospital care. Hospital case managers help support, and connect patients, families, and caregivers through communication and coordination with post-acute care providers and home and community-based services. This includes the development of a discharge or transition plan that addresses the patient’s goals, needs and treatment preferences, and prepares patients and caregivers for post-discharge care.
Medi-Cal Treatment Authorization Request System to Be Updated
What’s happening: From Nov. 15- 18, the Medi-Cal Treatment Authorization Request (TAR) system will be unavailable as it is migrated to a new platform.
CHA Comments on Regulations Limiting LVN-Provided Respiratory Care
What’s happening: Last week, CHA submitted comments to the Respiratory Care Board of California (RCB) expressing concerns about new regulations that restrict the tasks licensed vocational nurses (LVNs) may perform, therefore limiting hospitals’ and other care providers’ ability to meet their patients’ needs.
DHCS Updates Grievance and Appeals Requirements Information
What’s happening: The California Department of Health Care Services (DHCS) has republished the State Hearing Form to include a few technical changes to All Plan Letter 21-011, which addresses grievance and appeal requirements for Medi-Cal Managed Care Plans.
Federal Funding Will Bolster Medi-Cal Reimbursement for Inpatient Psychiatric Care
What’s happening: On Dec. 16, California was approved for the large BH-CONNECT behavioral health demonstration project, which is estimated to bring $5 billion of new federal Medicaid dollars for California over the next five years.