存取評估
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.
利害關係人參與
該州成立了一個諮詢委員會，為訪問評估的結構提供意見。 諮詢委員會包括消費者倡導組織、提供商、提供商協會、健康計劃、健康計劃協會和立法人員的代表。 委員會提供評估結構的意見，包括網絡充足要求和指標，以及對初始草案和最終報告的意見反饋。
最終諮詢委員會會議
在 2019 年 6 月 20 日（星期四），HSAG 主辦了訪問評估諮詢委員會會議，以審核訪問權限評估結果，並向委員會提供指引，以便向 HSAG 提交意見。
過去的諮詢委員會會議
January 31, 2017 – Assessment Outline Review Meeting Agenda
November 18, 2016 – Entrance Meeting Agenda
資源與資訊
CMS 訪問評估設計批准信（19 月 2018）
訪問評估設計草稿（提交 21，2017）
訪問評估設計大綱（27 月 2017）
問題和評論
請將您有關訪問評估的意見，問題或建議發送到以下電子郵件地址：