캘리포니아 주 발달 장애인을 위한 중간 돌봄 시설 장기 요양 서비스 통합 작업 그룹 회의 기록
캘리포니아 주 발달 장애인을 위한 장기 요양 서비스의 중간 요양 시설로 복귀
ICF/DD 통합 작업 그룹
Welfare and Institutions Code (WIC) Section 14184.201 required the Department of Health Care Services (DHCS) and the Department of Developmental Services (DDS) to convene a workgroup to address the transition of Intermediate Care Facility for Developmentally Disabled (ICF/DD) services from the Fee-for-Service (FFS) Medi-Cal delivery system to the Medi-Cal managed care delivery system. DHCS and DDS convened the ICF/DD Workgroup from March 2022 through February 2024 to provide an opportunity for stakeholders to collaborate and provide advisory feedback on DHCS’ policy and operational efforts in carving in ICF/DD services into Medi-Cal managed care.
작업 그룹 참가자에는 지역 센터, 관리 의료 계획(MCP), 지적 장애 및 발달 장애 시설(ICF/DD) 및 관련 협회, 소비자 단체, 그리고 서비스 근로자 국제 연합(SEIU)의 대표들이 포함됩니다. ICF/DD 작업 그룹은 발달 장애를 가진 메디-칼 수급자, 해당 시설(Homes), 그리고 이들을 지원하는 제공업체와 관련된 특정 문제에 초점을 맞췄습니다.
카브-인 가이드라인
The transition of ICF/DD services from FFS Medi-Cal to Medi-Cal managed care was designed to be seamless for members. This meant no disruption in access to care or services, that MCPs conducted timely review and authorization of services, as well as supported the member’s care planning. In addition, the existing infrastructure (e.g., Regional Centers, ICF/DD Home model) for individuals with developmental disabilities remains the same, including Lanterman Act protections and the roles and responsibilities of Regional Centers.
DHCS는 다음 결과물에 대해 초안을 공유하고 작업 그룹으로부터 의견을 얻었습니다:
- 제공자 알림
- Medi-Cal 회원 알림
- ICF/DD 우수 사례 및 자주 묻는 질문 문서
- MCP들에게 요구되는 모든 계획서
- 표준 공급자 계약 안내
작업 그룹 회의
2022
- ICF/DD Workgroup Meeting #1: October 7, 2022 – Presentation Slides
- ICF/DD Workgroup Meeting #2: November 4, 2022 – Presentation Slides
- ICF/DD Workgroup Meeting #3: December 16, 2022 – Presentation Slides
2023
- ICF/DD Workgroup Meeting #4: January 20, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #5: February 10, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #6: March 22, 2023 – Presentation Slides
- ICF/DD 워킹그룹 회의 #7: 4월 17, 2023 - 프레젠테이션 슬라이드
- ICF/DD 워킹그룹 회의 #7: 4월 17, 2023 - ICF/DD 커뮤니케이션 개요
- ICF/DD Workgroup Meeting #8: May 19, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #9: June 23, 2023 – Presentation Slides
- ICF/DD 워킹그룹 회의 #10: 7월 24, 2023- 프레젠테이션 슬라이드
- ICF/DD Workgroup Meeting #11: August 25, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #12: September 29, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #13: October 13, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #14: November 8, 2023 – Presentation Slides
- ICF/DD Workgroup Meeting #15: December 8, 2023 – Presentation Slides