​​​​​​​​​​​​​​​Medi-Cal Health Enrollment Navigators Project

(Assembly Bill 74, Chapter 23, Statutes of 2019)​

Effective 7/1/2019 to 6/30/2022
 
Assembly Bill (AB) 74 appropriated $59,720,000 over three state fiscal years to provide funding to counties and community-based organizations (CBOs) to serve hard-to-reach potentially eligible Medi-Cal populations. These county and CBO groups will perform the following activities to reach these populations:

  • Outreach
  • Application Assistance
  • Enrollment
  • Assistance with Accessing and Utilizing Health Care Services
  • Assistance with Troubleshooting
  • Retention
  • Assistance with Redeterminations

The Department of Health Care Services (DHCS) has identified (11) priority populations to focus health navigation efforts (which includes, but is not limited to):

  • Persons with mental health disorder needs
  • Persons with substance use disorder needs
  • Persons with other disabilities
  • Aged persons
  • Persons who are homeless
  • Young people of color
  • Immigrants and families of mixed immigration status
  • Persons with limited English proficiency
  • Low-wage workers and their families or dependents
  • Uninsured children and youth formerly enrolled in Medi-Cal
  • Persons who are in county jail or state prison, on state parole, on county probation, or under post release community supervision

DHCS is responsible for the Project’s implementation including program design, funding allocations, data collection, and reporting requirements. DHCS will work closely with counties and CBO’s to enhance DHCS’ efforts to achieve a successful implementation in reaching out to California residents who are potentially or actually eligible for Medi-Cal but are not currently enrolled.

Health Navigators Project Phase IV Request for Application Announcement

For Information about Phase IV of the Health Navigators Project, please see the Phase IV Announcement and the Phase IV PowerPoint.

Participating Counties and Community Based Organizations (CBOs)

Bulletins

Allocation Agreement

To see more information about the Health Navigators Project agreement terms, please see the Health Navigators Project Allocation Agreement Sample.

Social Media Campaign

Given the unique health challenges of the COVID-19 emergency, Medi-Cal is an even more critical resource for Californians who need help meeting their health care needs. As such, DHCS is expanding efforts to inform these Californians about the availability of Medi-Cal. We’ve developed a social media toolkit with a set of targeted messages to reach various groups of Californians, many of whom don’t know they may qualify for Medi-Cal, and others who may have concerns about applying. Tell the people you serve about Medi-Cal’s enrollment campaign using this important social media content. 

Frequently Asked Questions and Answers

 In an effort to provide as much information and transparency as possible, the Department of Health Care Services (DHCS) Health Enrollment Navigators Project (Project) has compiled a list of frequent questions posed by interested/participating counties and community-based organizations (CBOs). As new questions are posed, DHCS will update this section with the question and a broad response that is intended to be applicable to most counties and/or CBOs.
 
1.  Who do I contact regarding questions and inquires about this project?
All questions and inquiries should be sent to the Health Navigators Inbox: HealthNavigators@dhcs.ca.gov​​. Each county and CBO that receives an allocation agreement (funding award) will have an assigned analyst that can provide regular assistance.  
 
2.  What is the duration of this project?
The service period of the Project is January 1, 2020 through December 31, 2021. The Department will reserve a six (6) month period of January 1, 2022 through June 30, 2022 for the conclusion of administrative processes, final payment of Project costs, data reporting, and agreement closeout.
 
3.  How are county funds allocated?
DHCS takes a holistic approach and proposed outreach efforts are assessed to ensure the proposed funding is reasonable..
 
4.  What documents need to be submitted in order to receive funding for this project?
To be considered for this funding allocation, the following will need to be completed and submitted to DHCS via email for evaluation.

Counties

  • DHCS Health Navigators Project Survey (via Survey Monkey)
  • Navigation Goals & Objectives (Attachment 1)
  • Work Plan (Attachment 2)
  • Budget Plan (Attachment 3)
  • Organizational Chart
Community-Based Organizations
  • DHCS Health Navigators Project Survey (via Survey Monkey)
  • Navigation Goals & Objectives (Attachment 1)
  • Work Plan (Attachment 2)
  • Budget Plan (Attachment 3)
  • Organizational Chart and resume of all responsible persons
  • A support letter from a county welfare department currently providing eligibility determination and redetermination from each of the counties being proposed for Project activities
5.  When can my county begin implementing this project?
Once the county or CBO signs and returns the Allocation Agreement to DHCS, DHCS will review and countersign the Allocation Agreement, at which time the agreement will be in effect and Project activities can commence. DHCS will send an electronic copy of the counter-signed executed Allocation Agreement to the county or CBO.
 
6.  What happens if a county chooses not to participate in the Navigators Project?
If a county chooses to opt out of the project, DHCS will reach out to CBO’s interested in serving in that county to encourage participation in all counties.
 
7.  Can participating counties work with CBO’s on this project?
Yes. DHCS highly encourages counties to partner with CBOs.  
 
8.  What are the seven (7) data points?
Outreach, assist with application, enrollment, assist with accessing services, assist with troubleshooting, retention, and assistance with redeterminations.
 
9.  Will this be a grant allocation to the counties or will this go through the standard county expense claim process?  
The Project funding is an individual grant award and will not go through the standard county expense claim process. As such, DHCS will not issue a time study code for cost claiming. Instead, the county will invoice DHCS for approved activities through the mutually-signed Allocation Agreement. The County will need to bill DHCS separately for the portion of the employee’s time spent on allowable Project activities, which should not be claimed in the standard county expense claim process.
 
10.   What documents need to be submitted monthly to DHCS?
Participants need to submit Attachment 4: The Monthly Data Report. 
 
11.   What documents need to be submitted quarterly to DHCS?
Participants need to submit Attachment 3: The Quarterly Invoice and Attachment 5: The Quarterly Progress Report.
 
12.   What county personnel need to sign the Allocation Agreement?
The county needs to follow their approved internal processes to obtain the proper signature of an individual that is designated to sign the Allocation Agreement.
 
13.   Once our county executes the Allocation Agreement, can we email the agreement back to DHCS?
DHCS requires a wet signature from the county and the original copy mailed to DHCS. Once DHCS countersigns, DHCS will keep the original and scan the agreement, via email, back to the county. If the county is requesting an original copy for their records, an additional Allocation Agreement needs to be mailed to DHCS.
 
14.   What address do participants use to send their Allocation Agreements to DHCS?
Allocation Agreements can be sent to the DHCS Medi-Cal Eligibility Division address:  
​ATTN: HEALTH ENROLLMENT NAVIGATORS SECTION
MEDI-CAL ELIGIBILITY DIVISION
PO BOX 997417, MS 4607
SACRAMENTO, CA 95899-7417
 
If participants plan on sending the agreement overnight, use the physical address.
 
MEDI-CAL ELIGIBILITY DIVISION
1501 CAPITOL AVENUE, MS 4607
​​SACRAMENTO, CA 95814

 
15.   What are permissible vehicle expenses a county or organization may invoice for the Navigators Project?
Project partners may use funding for transportation costs for outreach and enrollment activities only. These costs fall into one of two allowable categories: 1) state approved Mileage Reimbursement Rate when using a personal vehicle, or 2) rental vehicle and applicable reimbursable expenses.  
 

Mileage Reimbursement Rate (when using a personal vehicle)

Permissible reimbursable costs:

  • Mileage to and from outreach and enrollment activities will be reimbursed at most current per mile rate (2020 rate is $0.575), in accordance with the California Department of Human Resource's annually published Mileage Reimbursement Rate.
  • Mileage reimbursement covers/includes the following five (5) types of expenses:

    1. Gasoline
    2. Cost of maintenance (oil, lube, routine maintenance)
    3. Insurance (liability, damage, comprehensive and collision coverage
    4. Licensing and registration
    5. Depreciation and all other costs associated with operation of the vehicle.
  • Must include a travel log documenting the miles (starting and ending odometer readings), type of vehicle used (personal or county-owned), name of staff, description of outreach and enrollment activities performed, and total requested reimbursement with your Quarterly Invoice.
  • Travel must be included in your approved budget. If not, please work with your assigned analyst on revising your budget.

Non-permissible reimbursable costs (also applies to rental vehicles):

  • Costs for transporting beneficiaries to and from medical appointments.
  • Purchase of a new vehicle or modifications to an existing vehicle.
  • All other travel costs, i.e. lodging, meals, etc.

Rental Vehicle

Permissible reimbursable costs:

  • Only a compact or standard sized vehicle (as identified by the rental car company) may be rented. If a larger sized vehicle (i.e. SUV, van, etc.) is necessary, please consult with your Navigators Analyst.
  • Must include a travel log documenting the miles (starting and ending odometer readings), vehicle used, name of staff, and description of outreach and enrollment activities performed, invoice from rental car company, gasoline receipt, and total requested reimbursement with your Quarterly Invoice.

 


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Last modified date: 1/14/2021 9:07 AM