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- Access and Managed Care Final Rules
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Behind the Numbers: What is Driving Continued HCBS Rebalancing?
Advisory Committee Requirements in the Access Rule: What’s Next for Implementation?
Ensuring a Seamless Transition to Managed Care for Medi-Cal Members with Complex Needs
Navigating Care for Dual Eligible Individuals: Paving the Way for Medicare and Medicaid Integration
Advancing Care Coordination: What’s Ahead for California’s Dual Eligible Members
New Peer Support Services Benefit to Leverage Providers’ Lived Experience to Support Medi-Cal Members
Sowing Seeds of Change: Promising Early Results from California’s Medication Assisted Treatment Program
California’s Efforts to Facilitate Access to Medi-Cal Mental Health Services
Californians, like the rest of the country, are facing significant mental health challenges in the aftermath of the pandemic. The need for new and enhanced behavioral health supports and interventions has come into strong focus in recent years and states are leveraging their Medicaid programs to respond.
Medicaid & Medicare Prepare for the End of the Public Health Emergency
In November 2022, United States Senators Cassidy, Carper, Scott, Warner, Cornyn, and Menendez issued a request for information (RFI) regarding approaches for improving coverage for individuals who are dually eligible for Medicare and Medicaid. Dual eligible beneficiaries are more likely to have complex health needs that are difficult and often expensive to treat. Too often, they experience a lack of integration and coordination that often results in confusing encounters with the health care system and negative health outcomes.
Senators Request Public Input to Inform Decision Making on Programs Serving Dual Eligible Enrollees
In November 2022, United States Senators Cassidy, Carper, Scott, Warner, Cornyn, and Menendez issued a request for information (RFI) regarding approaches for improving coverage for individuals who are dually eligible for Medicare and Medicaid. Dual eligible beneficiaries are more likely to have complex health needs that are difficult and often expensive to treat. Too often, they experience a lack of integration and coordination that often results in confusing encounters with the health care system and negative health outcomes.
Effective Communication Strategies that Built and Strengthened the ACEs Aware Initiative
REPORT: Billing Better in CalAIM: How to Improve Reimbursement for Enhanced Care Management and Community Support
Enhanced Care Management (ECM) and Community Supports are core components of CalAIM, a multiyear initiative led by the California Department of Health Care Services (DHCS) that take a person-centered approach to social service delivery and care management for individuals with complex health and social needs.
Strengthening the System of Behavioral Health Care in the District of Columbia
CalHOPE: A New Sustainable Model of Care
Thanks to tireless advocacy combined with impressive outcomes data, funding was allocated in the California state budget to support the continuation of the program. This is a prime example of how initial federal investments can ultimately lead to long-term sustainability of successful programs.
Supporting Medicaid Providers in CalAIM Implementation
Last year, Aurrera Health Group teamed up with the California Department of Health Care Services to provide early education and targeted technical assistance for providers on implementing Enhanced Care Management and Community Support services, two key parts of the CalAIM initiative. This experience revealed several promising practices for other states pursuing whole-person approaches to health care delivery.
Holding On: Community Health Centers’ Critical Role During the Pandemic
Federally Qualified Health Centers (FQHCs) are a critical provider of health care, particularly for communities of color and Medicaid beneficiaries. It is vital that health centers are financially and operationally stable so they can continue to effectively provide patients with primary care, behavioral health, and dental services.
REPORT: Holding On: How California’s Health Centers Adapted Operations and Care for Patients During the Pandemic
Prepared for the California Health Care Foundation by Aurrera Health Group and Capital Link, this paper identifies several key factors that enabled California’s health centers to manage the financial strain exacerbated by the COVID-19 pandemic while continuing to serve patients at a time when accessing health care involved new and unanticipated challenges.
REPORT: Improving California’s Health Care Delivery System for the Child Welfare-Involved Population: Concepts and Considerations
Prepared for the DHCS and CDSS CalAIM Workgroup, this report explores ways to better integrate services, provide a single contact for children, and ensure access to specialty care in the child welfare system.
REPORT: California’s Health Homes Program: Lessons Learned and Promising Practices
The Health Homes Program (HHP) is a Medi-Cal initiative that helps manage and coordinate care for enrollees with certain chronic health and/or mental health conditions who have high health care needs or who are experiencing chronic homelessness.