Current California standards require health plans to ensure that their enrollees have timely access to medical care — such as being within 15 miles or a 30-minute drive from a hospital. Unfortunately, many people covered by Medi-Cal still face significant hurdles to access care.
California standards that ensure timely access to care for Medi-Cal enrollees will expire in less than a year.
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What’s happening: The Assistant Secretary for Technology Policy (ASTP) and Office of the National Coordinator for Health Information Technology issued a final rule to advance interoperability and improve information sharing among patients, providers, payers, and public health authorities.
What else to know: In future rulemaking, the ASTP will finalize additional policies included in the proposed rule.
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What’s happening: More than 250 health care professionals and hospital leaders from across California gathered in Long Beach on Dec. 4-5 for CHA’s annual Behavioral Health Symposium.
What else to know: Attendees discussed innovative ways to connect patients to community-based care and tackle stigma, updates to California’s involuntary treatment and emergency services laws, and more.
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What’s happening: CHA issued an alert asking members to urge their congressional representatives to support hospital priority issues in year-end legislation.
What else to know: Outreach is needed by Dec. 20 when Congress will wrap up the session.
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What’s happening: The California Health Care Foundation’s new playbook shares actionable recommendations to help leadership and frontline staff effectively coordinate, collaborate, and partner on managing the discharge of patients who remain in hospitals for extended stays.
What else to know: Using four vignettes of fictional patients with complex needs who are awaiting discharge, the playbook demonstrates how Medi-Cal benefits and services can be used to “facilitate a person-centered discharge.”
Presented by UCSF Medical Center, this session describes the process of developing a guideline for pediatric patients designated as imminently dying, or “expectant,” in a disaster.
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What’s happening: Effective Jan. 1, 2025, Medi-Cal managed care plans (MCPs) must implement presumptive authorization arrangement with select providers of enhanced care management (ECM).
What else to know: The Department of Health Care Services (DHCS) is releasing updates to the ECM presumptive authorization policy parallel to the ECM Referral Standards that, together, are designed to ease the administrative burden of the referral and authorization process on ECM providers and community referral partners.
Implementation of a broad delivery system, program and payment reform – This is how CalAIM, a Californian Department of Health Care Services (DHCS) initiative, plans to improve the quality of life and health outcomes for our population. As part of the state’s CalAIM behavioral health payment reform initiative, the DHCS recently received federal approval to update the reimbursement methodology […]
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What’s happening: CHA will host a members-only webinar on June 4 at 10 a.m. (PT) to discuss the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality rule, which was finalized by the Centers for Medicare & Medicaid Services (CMS).
What else to know: The rule finalizes significant changes and clarifications regarding managed care delivery and finance.