主页提供方& 合作伙伴CalAIM 发育障碍者中级护理机构长期护理分割工作组会议档案​​ 

CalAIM 中级护理机构为发育障碍人士提供长期护理的加入工作组会议档案​​ 

返回 CalAIM 中级护理机构，为发育障碍人士提供长期护理​​ 

ICF/DD Carve-In 工作组​​ 

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.​​  

工作组参与者包括区域中心、管理式医疗计划 (MCP)、ICF/DD 养老院及其附属协会、消费者团体和服务雇员国际工会 (SEIU) 的代表。ICF/DD 工作组重点关注患有发育障碍的 Medi-Cal 成员、养老院以及为这些人提供服务的服务提供商所面临的具体问题。​​ 

嵌入指导原则​​ 

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.​​  

DHCS 分享了草案并获得了工作组对以下交付成果的意见：​​ 

  • 提供商通知​​ 
  • Medi-Cal 会员通知​​ 
  • ICF/DD 有前景的实践/常见问题文档​​ 
  • 所有计划信函均作为 MCP 的要求​​ 
  • 标准提供商合同指南​​ 

工作组会议​​ 

2022​​ 

2023​​ 

2024​​