访问评估
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.
利益相关方参与
州政府设立了一个咨询委员会，为准入评估的结构提供意见。 咨询委员会包括消费者权益保护组织、供应商、供应商协会、健康计划、健康计划协会和立法人员的代表。 委员会为评估结构提供了意见，包括网络充分性要求和指标，以及对初稿和最终报告的反馈。
最后一次咨询委员会会议
年 6 月20日（星期四）， 2019 ，HSAG 主持召开了访问评估咨询委员会会议，以审查访问评估结果并为委员会向 HSAG 提交反馈提供指导。
以往咨询委员会会议
January 31, 2017 – Assessment Outline Review Meeting Agenda
November 18, 2016 – Entrance Meeting Agenda
资源和信息
CMS 访问评估设计批准函（ 19年 9 月、 2018 9 月）
访问评估设计草案（提交于 4 月21 、 2017 ）
访问评估设计大纲（1 月27 、 2017 ）
问题和评论
请将您对访问评估的评论、问题或建议发送至以下电子邮件地址：