Long-Term Care at Home
On May 22, the Department of Health Care Services (DHCS) and California Department of Aging (CDA) announced the development of a potential new “Long-Term Care at Home" benefit in Medi-Cal for managed care and fee-for-service beneficiaries. This new model of care is intended to help address the coronavirus pandemic by decompressing our skilled nursing facilities, and provide eligible consumers with a coordinated and bundled set of medical and home and community services to help vulnerable adults statewide stay healthy at home. Services delivered will be tailored to the needs of the individual based on a person-centered assessment and organized and delivered by a single licensed agency.
This benefit is intended to support home care for individuals transferring from hospitals to home, from skilled nursing facilities to home or to prevent a skilled nursing facility stay. It would increase consumer and family choices in where to live and how to receive care.
DHCS and CDA will develop this model in coordination with the Master Plan for Aging Long-Term Services and Supports
Subcommittee, other stakeholders, and partner departments within the Administration, including the Departments of Social Services, Public Health, Developmental Services, and Rehabilitation.
DHCS will seek approval from the federal Centers for Medicare & Medicaid Services for this benefit and is intending to implement this model by early 2021. The Long-Term Care at Home benefit is intended to be cost-neutral for the state General Fund.
DHCS and CDA will convene three public stakeholder meetings to discuss this proposal, via telephone and webinar.