Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes Kev Ntsuam Xyuas Kev Nkag Mus

Kev ntsuam xyuas kev nkag

Return to the Medi-Cal 2020 Waiver Homepage

The Centers for Medicare and Medicaid Services (CMS) approved California’s Section 1115(a) Medicaid Waiver Renewal, titled California Medi-Cal 2020 Demonstration (Medi-Cal 2020) on December 30, 2015. The Special Terms and Conditions (STCs) set forth by CMS and DHCS established the conditions and limitations on the waiver and expenditure authorities. In accordance with the Medi-Cal 2020 STCs, California was required to conduct a one-time assessment (Access Assessment) of Medi-Cal Managed Care (MCMC) beneficiaries’ access based on current Medi-Cal managed care health plan (MCP) network adequacy requirements.

This Access Assessment evaluated MCMC beneficiaries’ access to primary, core specialty, and facility services, as well as compliance with MCP network adequacy and timely access requirements and standards. Following the State’s approval to move forward with the Access Assessment on July 25, 2016, DHCS coordinated with Health Services Advisory Group, Inc. (HSAG), the State’s external quality review organization (EQRO), to design and conduct the required Access Assessment. The final report has been prepared for the period of March 1, 2017 – December 30, 2017.

CA 2017-2018 Access Assessment Final Report

Stakeholder Engagement

Lub xeev tau tsim Pawg Neeg Tawm Tswv Yim los muab cov tswv yim rau hauv cov qauv ntawm Kev Ntsuam Xyuas Kev Nkag Mus. Pawg Neeg Tawm Tswv Yim suav nrog cov neeg sawv cev los ntawm cov koom haum txhawb nqa cov neeg siv khoom, cov kws kho mob, cov koom haum muab kev pabcuam, cov phiaj xwm kev noj qab haus huv, koom haum npaj kho mob, thiab cov neeg ua haujlwm tsim cai. Pawg Neeg Saib Xyuas tau muab tswv yim rau hauv cov qauv kev ntsuam xyuas nrog rau cov kev xav tau ntawm lub network txaus thiab cov kev ntsuas, nrog rau cov lus tawm tswv yim ntawm thawj tsab ntawv thiab tsab ntawv ceeb toom zaum kawg.

Lub Rooj Sib Tham Kawg Pab Pawg

Hnub Thursday, Lub Rau Hli 20, 2019, HSAG tau tuav lub Rooj Sib Tham Pabcuam Kev Tshawb Fawb Txog Kev Tshawb Fawb los tshuaj xyuas cov txiaj ntsig kev txheeb xyuas kev nkag mus thiab muab kev taw qhia rau pawg neeg xa tawm cov lus teb rau HSAG.