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CalAIM: Medical Necessity Behavioral Health

Implementation of CalAIM is a multiyear process and will influence how patient care is provided in numerous areas. Review this education brief to learn more about Medi-Cal Specialty Mental Health Services, what may be defined as ‘medical necessity,’ the CalAIM proposal and anticipated changes, and answers to the most common questions about the CalAIM reforms […]

CalAIM: Behavioral Health Payment Reform

Upcoming changes to Medi-Cal will have a tremendous impact on hospitals. One of those changes is related to the Behavioral Health Payment Reform. Review this education brief to better understand realignment, proposed behavioral health payment reform and the two phases of implementation.

CalAIM: Managed Care and Medi-Cal

Overview

The CHA case manager committee identified a need — case managers needed additional training opportunities as well as ongoing support.  And case management leaders needed training tools that were accessible, cost-effective, and which could be customized to meet the unique needs of each individual and hospital.

CalAIM: In Lieu of Services

Overview

The CHA case manager committee identified a need — case managers needed additional training opportunities as well as ongoing support.  And case management leaders needed training tools that were accessible, cost-effective, and which could be customized to meet the unique needs of each individual and hospital.

Coronavirus Response Newsletter

This post has been archived and contains information that may be out of date.

CDPH Updates Quarantine Guidance for Health Care Personnel

Today, the California Department of Public Health (CDPH) released updated guidance on quarantine for health care personnel (HCP). All Facilities Letter (AFL) 21-08.2 aligns with the Centers for Disease Control and Prevention’s (CDC’s) March 10 quarantine and work exclusion guidance for HCP in response to COVID-19 vaccination. Both the CDPH AFL and CDC guidance now recommend that:

CMS Publishes Clarifications on IRF-PAI, LTCH-CARE

This post has been archived and contains information that may be out of date.

The Centers for Medicare & Medicaid Services (CMS) has published Question & Answer documents for the patient assessment instruments (PAIs) used in inpatient rehabilitation facilities (IRFs) and long-term care hospitals (LTCHs).  

CDPH Issues Reminder About Vaccine Eligibility and Clarifications

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

On March 16, the California Department of Public Health issued a reminder to local health jurisdictions and vaccine providers about vaccine eligibility, eligibility changes, and clarifications.  

Addressing the expansion of vaccine eligibility that took effect on March 15, this reminder clarifies how to verify eligibility for those ages 16-64 who are deemed to be at highest risk to get very sick from COVID-19 due to specified severe health conditions or developmental or other severe disabilities or illness.