3 Things You Need to Know About the Managed Care Plan Transition
Beginning in 2024, all Medi-Cal managed care plans (MCP) will have additional requirements to advance quality, equity, accessibility, accountability, and transparency. Susan Philip, Deputy Director of DHCS' Health Care Delivery Systems, and Dana Durham, Chief of DHCS' Managed Care Quality and Monitoring Division, share what this change means for members.
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California Approved to Offer Medi-Cal Services to Eligible Justice-Involved Youth And Adults
On January 26, 2023, California became the first state in the nation approved to offer a targeted set of Medicaid services to youth and adults in state prisons, county jails, and youth correctional facilities prior to release. To learn what this means for Californians, we spoke with Sydney Armendariz, Chief of the Justice Initiative Branch in DHCS' Office of Strategic Partnerships.
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DHCS is Offering Integrated Care for People Eligible for Both Medicare and Medi-Cal
(November 22, 2022) Starting in January 2023, the Department of Health Care Services (DHCS), along with our federal Medicare partners, is establishing Medicare Medi-Cal Plans (Medi-Medi Plans). Medi-Medi Plans will continue to provide integrated care for current Cal MediConnect (CMC) members and are available for new enrollment in 2023. These plans are available in seven counties (Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara) and will be available in additional counties in future years.
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Transforming Behavioral Health
(June 28, 2022) California is strengthening its behavioral health continuum of care for all Californians, including Medi-Cal members living with serious mental illness, serious emotional disturbance, or substance use disorder. To learn more, we spoke with Tyler Sadwith, Deputy Director of Mental Health and Substance Use Disorder Services at DHCS.
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What is Providing Access and Transforming Health (PATH)?
(April 27, 2022) PATH is a five-year, $1.85B initiative to build, maintain, and scale the capacity necessary to implement new Medi-Cal programs like Enhanced Care Management and Community Supports. To learn more, we spoke with Susan Philip, DHCS Deputy Director of Health Care Delivery Systems.
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What is Population Health Management?
(February 28, 2022) Medi-Cal’s Population Health Management program is about proactively helping people stay well by identifying illnesses before they worsen and anticipating member needs before they increase. To learn more, we spoke with Dr. Palav Babaria, Chief Quality Officer and Deputy Director of Quality and Population Health Management at DHCS.
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