News & Updates

Cal MediConnect HRA Workgroup: Summary of Recommendations

Posted by on Feb 16, 2017 in NEWS | 1 comment

In 2016, the Department of Health Care Services (DHCS) announced it would be pursuing a comprehensive strategy to strengthen the Coordinated Care Initiative and Cal MediConnect (CMC). One of the key areas DHCS focused on was improving referrals to Long-Term Services and Supports (LTSS). The effort included creating standardized LTSS referral questions for all CMC and Managed Long Term Services and Supports (MLTSS) plans to use in their Health Risk Assessments (HRAs). To accomplish this, DHCS convened a workgroup of 20 participants from a variety of stakeholder groups, including: advocates, LTSS providers, health plans, medical groups, and state agencies.

DHCS is proud to announce the release of the Cal MediConnect HRA Workgroup: Summary of Recommendations. This report is the final product of that workgroup and provides a set of standardized LTSS referral questions and guidance for plans on how to use them to identify members who may qualify for and benefit from LTSS.

The workgroup met five times over four months for discussion, collaboration, and multiple rounds of review. They assembled a comprehensive set of risk factors that may indicate a need for LTSS services. To address the spectrum of challenges a beneficiary may face, the workgroup identified four different categories: social determinants, functional capacity, medical conditions, and behavioral health conditions. Next, they identified questions from the DHCS proposed LTSS referral questions that addressed those risk factors. To account for the remaining risk factors or aspects of risk factors that were not accounted for in existing questions, the workgroup crafted new questions. To improve accessibility for all beneficiaries, the questions were adjusted to meet health literacy and cultural competency requirements.

The final report is being shared with stakeholders. DHCS is currently revising HRA guidance plan letters for CMC plans ( DPL 15-005), MLTSS plans (APL 14-010) and plans serving Seniors and People with Disabilities (PL 14-005). The Dual Plan Letter and All Plan Letters will be circulated for public comment before being finalized for plans.

As Cal MediConnect moves forward in 2017, the state and DHCS are committed to strengthening access to LTSS for dual-eligible beneficiaries. DHCS looks forward to these recommendations being used by Cal MediConnect plans to continue to provide coordinated care to their members.

January’s Outreach Events Recap

Posted by on Jan 13, 2017 in NEWS | 0 comments

Highlighted Outreach Events

 

Los Angeles County

Bell.Community.Event_1_(12.09.16.) - Copy12/10 – State outreach coordinators provided information about Cal Mediconnect to beneficiaries, caregivers and families at Bell Community Center’s Feria de Salud (Health Fair). Attendees learned about the benefits of Cal MediConnect, care coordination, continuity of care, eligibility, and important contact information. They also received fact sheets on Cal MediConnect and care coordination as well as Beneficiary Toolkits.

Orange County

Ventana_Photo_1 - Copy12/13 – Ventana Affordable Senior Housing in Fullerton hosted a OneCare Connect Informational Forum and Resource Fair. Outreach coordinators delivered CCI presentations in both English and Korean, which covered plan benefits, enrollment, care coordination, authorizations, continuity of care, and how to become an authorized representative. A medical provider also addressed the audience and answered specific questions. Following the presentations, seniors had the opportunity to get other questions answered one-on-one and learn about other community resources from collaborating agencies during a resource fair.

Orange County

LHA_Photo.3(12.14.16) - Copy12/14 – State outreach coordinators gave a presentation to beneficiaries and staff about the CCI and OneCare Connect at Latino Health Access in Santa Ana. Participants learned about the program’s options, enrollment process, new benefits, care coordination, continuity of care, and the authorized representative process. Following the main presentation, presenters fielded questions about OneCare Connect’s benefits. Finally, collaborative partners shared pertinent Medicare and Medi-Cal information and answered participant questions.

Other Recent Outreach Events

 

Los Angeles County

  • 12/2 – Information table at Providence Gardens Senior Apartments’ Senior Health Fair in Long Beach
  • 12/9 – Tabling at the Homeless Care Days at MacArthur Park for beneficiaries who are experiencing homelessness in Los Angeles (English/Spanish)
  • 12/15 – Webinar for providers
  • 12/16 – Information table for beneficiaries, families and caregivers at the Southern California Women’s Health Conference and Expo in Pasadena (English/Spanish/Korean/Mandarin)
  • 12/17 – Information table for beneficiaries, families and caregivers at the Inspired Enrichment Community Development Center Community and Health Fair in South Los Angeles (English/Spanish)

Riverside and San Bernardino Counties

  • 12/20 – Webinar for advocates
  • 12/21 – Webinar for providers

Santa Clara County

  • 12/5 – Information table for seniors at the Vietnamese Family Support Group in San Jose
  • 12/6 – Information table for seniors at the Santee and McLaughlin Area Tenants Neighborhood meeting in San Jose

Coordinated Care Initiative 2017 Budget Update

Posted by on Jan 13, 2017 in NEWS | 8 comments

Governor released his 2017-18 budget proposal which continues Cal MediConnect and MLTSS.

 

The State and DHCS are committed to increasing and improving the coordination of care for dual-eligible individuals. The budget reflects the Administration’s commitment to the principles of the CCI and making the necessary changes in order to make the Cal MediConnect program stronger.

When created, the Coordinated Care Initiative (CCI) contained a provision requiring the Department of Finance to determine if the CCI program is cost effective each January, and if not, the entire program would be discontinued the following year.

The Budget estimates that CCI will not be cost effective, thereby triggering a process that ceases all statutory provisions related to CCI as of January 1, 2018. Until then, DHCS is taking this opportunity to restructure parts of the program to make it cost effective.

Based on the lessons learned from CCI, the Budget proposes to extend the Cal MediConnect program, continue mandatory enrollment of dual-eligibles, and continue to integrate long-term services and supports (except IHSS) into managed care for two years. Some of the pieces of the CCI were found to be cost-effective and have the potential to improve the quality of care for those enrolled, and help keep individuals in their homes and communities, thereby leading to likely long term cost reductions.

Other changes under the Budget include:

  • IHSS would no longer be included as a health plan benefit, but would continue to be available to eligible beneficiaries as a fee-for-service benefit, just as it was before implementation of the CCI
    • Funding changes implemented under the CCI would end, and funding for IHSS would no longer be included in the capitation rates for plans
    • Plans and counties would be encouraged to collaborate on care coordination
  • DHCS, in conjunction with the Department of Aging (CDA), is proposing to delay for two years the transition of the Multipurpose Senior Services Program from a fee-for-service benefit to a benefit fully supported under the managed care plans
  • Considering the budget proposal, the State does not plan to proceed with the Universal Assessment Tool. However, the State recognizes that a number of the proposed items developed through this process cover important topics that could be useful if addressed during the IHSS in-home assessment, and plans to assess if and how they may be leveraged by the IHSS program.

DHCS has been open about the challenges that have come with trying to integrate two very different health care systems in a way that provides improved and better coordinated care. We will continue to work closely with our plan, provider, and stakeholder communities as any changes to the program are rolled out.

To listen to a recording of the stakeholder call on 1-12-17 which discusses the budget announcement, click here.

New initiative to improve health outcomes and lower costs for Southern California nursing home residents announced by state, federal agencies

Posted by on Jan 5, 2017 in NEWS | 0 comments

Hospitalization can be dangerous and disruptive for nursing facility residents. Almost 45 percent of hospitalizations of nursing residents enrolled in both Medicare and Medi-Cal are potentially avoidable. Los Angeles and Orange Counties are among the highest-cost areas for nursing facility residents nationwide, driven by high rates of hospitalizations and subsequent stays in Medicare-paid skilled nursing facilities.

In 2017, the Centers for Medicare & Medicaid Services (CMS) and the California Department of Health Care Services (DHCS) will launch a new initiative to improve health outcomes and reduce costs for nursing facility residents in Los Angeles and Orange Counties. Through this initiative, health plans participating in the Cal MediConnect program, a capitated financial alignment model demonstration, will develop and implement interventions to reduce avoidable hospitalizations for nursing facility residents.

These quality improvement activities will be assessed annually. At the same time, CMS and DHCS will test new payment adjustments to better reflect typical costs of care for this population. Previously, payments to health plans underestimated Medicare spending, and Cal MediConnect plans served a disproportionately low number of nursing facility residents. These quality improvement activities and new payment adjustments amend the existing parameters for Cal MediConnect.

DHCS and CMS in 2014 began the Cal MediConnect demonstration, which tests a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience, along with access to new services. Under the demonstration, California and CMS contract with Medicare-Medicaid health plans to coordinate the delivery of and be accountable for Medicare- and Medi-Cal-covered services for participating Medicare-Medi-Cal enrollees.

Plans are responsible for providing a comprehensive assessment of enrollees’ medical, behavioral health, long-term care services, functional, and social needs. Enrollees and their caregivers work with an interdisciplinary care team to develop person-centered, individualized care plans. About 115,000 Californians are enrolled in Cal MediConnect.

For more information on Cal MediConnect, please visit https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/California.html or www.calduals.org.

December’s Outreach Events Recap

Posted by on Dec 9, 2016 in NEWS | 0 comments

Highlighted Outreach Events

 

San Diego County

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11/3 – The Mira Mesa Senior Center sponsored a town hall meeting that featured a panel of experts who discussed the CCI. The panel included a state outreach coordinator, a primary care physician from a Federally Qualified Health Clinic (FQHC), a staff lawyer, a Community Health Group plan manager, and an outreach coordinator from Consumer Center for Health Education and Advocacy (CCHEA) and Legal Aid in San Diego. The panel covered the value of care coordination and plan options available to beneficiaries who qualify. CCHEA’s representative focused on issues that beneficiaries had previously reported and offered resources to help address issues including balance billing, gaps in eligibility, and benefit coverage. The panelists also addressed the audience’s individual questions.

 

Orange County

golden-future11/5 – During the 6th Annual Orange County’s ‘Golden Future 50+ Senior Expo’, a diverse group of attendees heard a presentation on Cal MediConnect. Seniors, adults with disabilities, caregivers, and social workers from Orange and Los Angeles counties learned about plan benefits and the enrollment process. Attendees asked many questions about the program’s procedures and more specific questions about their own health plan concerns. Patrons also collected copies of the Cal MediConnect Beneficiary Toolkit, along with other information in Vietnamese, Tagalog, Spanish, and Korean. This event drew hundreds of people and provided the community at-large access to over six healthcare-related vendors.

San Diego County

natlcitymtg11/7 – Representatives from Federally Qualified Health Clinics (FQHCs), Meals on Wheels, the Aging & Independent Services Team, Program of All Inclusive Care for the Elderly (PACE), and local non-profit organizations took part in a CCI presentation at the National City Collaborative Partners’ Meeting. The presentation covered the value of coordinated care, the latest data showing Cal MediConnect’s positive impact on beneficiary / provider interaction, and the additional benefits (vision, transportation, and care coordination) that Cal MediConnect provides its enrollees. Following the presentation, attendees had the opportunity to get their questions answered and they received fact sheets with more information.

San Bernardino County

11/19 – English- and Spanish-speaking seniors alike participated in a Cal MediConnect Town Hall event in San Bernardino County. Presentations in English and Spanish explained the CCI’s elements, value proposition, and available health plans, and a panel of experts answered the audience’s specific questions. The panel included a state outreach staff member, and representatives from the CCI Advisory Committee Board, the Health Insurance Counseling and Advocacy program, Inland Empire Health Plan, Inland Counties Legal Services, InnovAge Greater California PACE, and Molina Healthcare. The event was co-hosted by Fifth Street Senior Center, Regal Medical Group, Senator Connie M. Leyva, and Assemblymember Cheryl R. Brown.

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San Diego County

sd-psych-0211/16 – Social workers and case managers at the San Diego County Psychiatric Hospital learned about the CCI during a presentation. The discussion focused on the value of coordinated care for beneficiaries with mental & behavioral health conditions and the providers who see them. The state outreach coordinator who led the presentation discussed the care coordinator’s role in a patient-centric and inter-disciplinary care team. Social workers were interested in how Cal MediConnect care coordinators can assist beneficiaries who are transitioning from a hospital to a long-term care home or assisted living facility. Following the presentation and question-and-answer session, copies of the Physician Toolkit and Case Manager’s Toolkit were distributed.

Los Angeles County

altamed11/19 – Representatives from Neighborhood Legal Services, the Department of Public Social Services, the Personal Assistance Services Council (PASC), advocacy agencies, medical group staff, local community clinics, and Good Samaritan Hospital employees attended a CCI Informational Forum and Resource Fair, which was hosted by AltaMed Medical Group and the AltaMed PACE Program. The event included a CCI presentation, which covered plan benefits, enrollment, care coordination, authorizations, and continuity of care. The subsequent question-and-answer session gave participants to ask questions from Neighborhood Legal Services, AltaMed Medical Group, AltaMed PACE Program, PASC, and others.

Other Recent Outreach Events

 

Los Angeles County:

  • 11/5 – Informational table for seniors and caregivers at the San Gabriel Valley Disability Collaborative Senior Resource Fair
  • 11/12 – Informational table for seniors and caregivers at the Health Fair at Chinatown Service Center in Chinatown
  • 11/12 – Informational table for seniors and caregivers at the 2016 Fall Health Awareness Community Fair
  • 11/17 – Webinar for advocates and administrators
  • 11/18 – Webinar for physicians and billing staff
  • 11/19 – Informational table for beneficiaries, caregivers, and families at Celebrando Su Salud en Familia Health Fair

Orange County

  • 11/29 – Webinar for advocates and caregivers
  • 11/30 – Webinar for providers and staff

Riverside and San Bernardino Counties

  • 11/3 – 2016 Caregiver Training, Appreciation, and Resource Fair in Riverside County
  • 11/3 – Presentation for staff and beneficiaries at the Consulate of Guatemala in San Bernardino County
  • 11/3 – Presentation to SEIU long-term care workers
  • 11/15 – Webinar for advocates and administrators
  • 11/16 – Webinar for physicians and billing staff
  • 11/16 – Informational table for seniors and caregivers the National Caregiver Appreciation Day
  • 11/18 – Informational table for seniors and caregivers at the Caregiver Appreciation, Training & Resource Fair
  • 11/30 – Presentation for seniors and caregivers at the Caregiver Appreciation Celebration in Riverside

San Diego County

  • 11/15 – Webinar for physicians and billing staff
  • 11/22 – Presentation for representatives of the San Diego County Health & Human Services Agency and local senior-service organizations

Santa Clara County

  • 11/3 – Informational table for seniors at the San Jose Library
  • 11/4 – Informational table for seniors at the Morgan Hill Senior Café
  • 11/5 – Presentation for seniors and their caregivers at Tzu Chi Buddhist Community Center
  • 11/7 – Informational table for seniors at Campbell Community Center
  • 11/8 – Presentation for seniors and caregivers at the Mountain View Senior Center
  • 11/9 – Informational table for seniors and their families at San Jose Library
  • 11/10 – Presentation for seniors at McLaughlin Corridor Neighborhood Association
  • 11/10 – Informational table for seniors at Alviso Senior Center
  • 11/11 – Presentation for seniors at the Berryessa Community Center
  • 11/14 – Informational table for homeless seniors and advocates at the Winter Faith Collaborative Meeting
  • 11/16 – Presentation for seniors at the Mountain View Senior Center (Chinese and English)
  • 11/16 – Informational table for seniors and caregivers at the King Library
  • 11/17 – Informational table for seniors at the Campbell Adult Center
  • 11/22 – Informational table for seniors and caregivers at Live Oak Adult Center
  • 11/30 – Presentation for seniors at the Esperanza Self-Help Center

Survey Results Show High Satisfaction and Reduced Hospitalization for Cal MediConnect Enrollees

Posted by on Dec 7, 2016 in NEWS | 1 comment

This week, The SCAN Foundation and Field Research Corporation released a fourth wave of survey results shedding light on beneficiaries’ experiences in Cal MediConnect health plans.

Enrollee confidence in managing their health conditions and satisfaction with their health services remain at high levels. The survey also reported fewer enrollees than opt-outs reported being hospitalized in the past 12 months.

“We’re pleased to continue to see strong evidence of Cal MediConnect’s positive impact on the lives of dual-eligible Californians,” said Jennifer Kent, Director of the Department of Health Care Services. “The decrease in hospital stays for Cal MediConnect enrollees is a sign that coordinated care can improve the health outcomes and quality of life of enrollees. We will continue to work with the health plans and other stakeholders to improve the program and ensure that more eligible beneficiaries learn about and enroll in this important program.”

To view the complete report on the wave 4 survey results, click here.

Read from the results of the Field Survey:

High Satisfaction Rates

Very large majorities of enrollees in Cal MediConnect in the Wave 4 survey continue to express confidence that they know how to manage their health conditions (83%), can get questions about their health needs answered (83%), and know who to call if they have a health need or question (84%). These proportions are similar to the levels of confidence expressed by enrollees in the Wave 3 survey earlier this year, but are somewhat higher than what enrollees reported in the first two survey waves in 2015.

% Confident Wave 1 Wave 2 Wave 3 Wave 4
Know how to manage their health condition 79% 77% 81% 83%
Can get questions about health needs answered 80% 79% 81% 83%
Know how to call if they have a health need or question 81% 80% 86% 84%

Large majorities of CMC enrollees in Wave 4 also continue to report being satisfied with the health services they are receiving in each of seven areas tracked by the survey. These include: the amount of time their doctor or other staff spends with them (86%); the way different providers work together (83%); their choice of doctors (83%); the information their health plan gives explaining their benefits (81%); their choice of hospitals (79%); how long they have to wait to see a doctor when they need an appointment (78%); and their ability to call a health provider regardless of the time of day (76%). These satisfaction levels are again similar to what was observed in Wave 3, but are higher than those observed in Waves 1 and 2 with regard to their choice of doctors, the way different providers work together, and the information their health plan gives explaining their benefits.

Lower Hospitalization Rates

When examining the results of enrollees and opt-outs across all survey waves, fewer enrollees (24%) than opt-outs (30%) report having been an overnight patient at a hospital in the previous 12 months. Similar differences are observed when examining the results from the Wave 4 survey only. The differences in hospitalization between enrollees and opt-outs are noteworthy, especially given that there are no significant differences in the self-reported health status of the two populations, with 49% of enrollees and 50% of opt-outs saying they are in fair or poor health. However, compared to enrollees, opt-outs do include a somewhat larger percentage of beneficiaries receiving Long-Term Services and Supports and those using specialized equipment, such as a cane, wheelchair, scooter or special bed.

Lower hospitalization rates are reported by enrollees than opt-outs in three of the seven CMC counties – Los Angeles, San Diego and Orange.

The data is from the fourth wave of Field Research Group’s Rapid Cycle Polling Project, an ongoing tracking survey funded by The SCAN Foundation to evaluate the experience of beneficiaries transitioning into Cal MediConnect health plans and their experiences with the new program. To learn more about this and other CCI evaluation efforts, visit: http://www.thescanfoundation.org/evaluating-medicare-medicaid-integration.

November’s Outreach Events Recap

Posted by on Nov 28, 2016 in NEWS | 0 comments

Highlighted Outreach Events

 

Los Angeles County

10-1-montebello-sr-ctr10/1 – Members of the Latino Club at the Montebello Senior Center learned about the requirements and benefits of Cal MediConnect during an informational presentation. Over 100 people attended and asked a range of follow-up questions about topics including continuity of care, benefits of the program, and how coverage works.

 

Los Angeles County

10/11 – Grand Plaza Apartments, in collaboration with state outreach staff and Good Samaritan Hospital, hosted a CCI health and resource fair for seniors and their family members. The event featured CCI presentations in Mandarin, Cantonese, and English; CCI-related informational booths; and free health screenings. Thanks to the diverse language capacities of volunteers and participating organizations, many seniors learned about the CCI’s components in a language that was most familiar to them.

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Los Angeles County

10-17-st-barnabas10/17 – English- and Spanish-speaking seniors learned about the CCI at St. Barnabas Senior Services Center Echo Park during a town hall event. Participants learned about Cal MediConnect plan benefits, continuity of care, balance billing, and the enrollment process. Following the presentation, three state outreach staff were on hand to answer specific questions about the program and distribute CCI fact sheets.

 

Los Angeles County

10-21-via-care10/21 – Doctors, nurse practitioners, and the Chief Medical Officer of Via Care Community Health Center learned more about the CCI from state outreach staff during a presentation. Attendees heard about the CCI’s purpose, plan options and benefits, and the enrollment process. Following the presentation, audience members asked questions about communicating with Cal MediConnect care coordinators, working within an interdisciplinary care team, and accessing Cal MediConnect provider resources.

 

San Diego County

10-24-gary-and-mary-west-sr-ctr10/24 – Seniors at the Gary & Mary West Senior Center participated in a town hall event co-sponsored by Serving Seniors, the Consumer Center for Health Education and Advocacy, and the office of Representative Scott Peters. Following the CCI presentation, participants had their questions answered about eligibility, balance billing, and enrolling into different health plans.

 

Santa Clara County

10-28-lytton-gardens-assisted-living10/28 – Residents at Lytton Gardens Assisted Living learned about the CCI during a presentation delivered in English and Chinese. State outreach staff shared information about plan benefits, continuity of care, and care coordination with Chinese- and English-speaking residents. Attendees learned how a Cal MediConnect care coordinator can help manage their services, help with arranging transportation and other services, and can foster communication among their providers.

 

Other Recent Outreach Events

 

Los Angeles County:

  • 10/1 – Informational table for seniors and their families at the 20th Korean Health Festival at Good Samaritan Hospital
  • 10/8 – Informational table for beneficiaries and their families at the Festival of Philippine Arts and Culture
  • 10/12 – Presentation for seniors at St. Barnabas Senior Services Senior Center Echo Park
  • 10/15 – Presentation and informational table for seniors and caregivers at the Golden Future 50+ Senior Expo
  • 10/15 – Presentation to providers and advocates at The City of San Fernando Recreation and Community Services’ Indigenous Peoples Day Celebration
  • 10/20 – Webinar for Los Angeles County advocates
  • 10/21 – Webinar for Los Angeles County providers
  • 10/22 – Informational table for seniors and their families at the annual Larry Itilong Day Parade and Festival
  • 10/24 – Informational table for seniors attending the Baldwin Park Health and Safety Fair
  • 10/28 – Presentation for hospital case managers at the Hospital Association of Southern California
  • 10/26 – Informational table for seniors at the Pasadena Senior Center’s Medicare Resource Fair

Orange County

  • 10/1 – Informational table for seniors during the Center for Successful Aging 2nd Annual Conference & Expo
  • 10/24 – Presentation for Latino Health Access Board members
  • 10/25 – Webinar for Advocates, Stakeholders and Caregivers in Orange County
  • 10/26 – Webinar for Orange County providers

Riverside & San Bernardino Counties

  • 10/7 –Informational table for seniors at a health fair in Hisperia
  • 10/15 – Informational table for seniors and caregivers at Indio Medical Clinic’s health fair
  • 10/18 – Webinar for Inland Empire advocates
  • 10/19 – Webinar for Inland Empire providers and billing staff
  • 10/21 – Informational table for seniors at the Fontana Community Senior Center Open Enrollment Fair
  • 10/22 – Informational table for seniors at the Inland Empire Disability Expo 10-Year Anniversary
  • 10/23 – Informational table for seniors during a health fair in the Mexican Consulate

San Diego County

  • 10/6 – Presentation for attendees of the Healthy San Diego Behavioral Health Workgroup
  • 10/13 – Presentation for staff at Sol Transportation Services

Santa Clara County

  • 10/7 – Presentation for seniors at the Alma Neighborhood Senior Boards
  • 10/11 – Presentation for seniors and their caregivers at the Mountain View Senior Center
  • 10/16 – Informational table for seniors and caregivers at a health fair sponsored by the International Buddhist Society, Tzu Chi

October’s Outreach Events Recap

Posted by on Oct 24, 2016 in NEWS | 1 comment

Highlighted Outreach Events

 

San Bernardino County

9-8-molina-edited9/8 – Providers and administrative staff from Molina Healthcare attended a CCI presentation, which included an overview of Cal MediConnect and MLTSS. The presentation highlighted the Cal MediConnect care coordinator’s role in the health plan, along with information about the plan options, benefits, and enrollment process. Each attendee received a physician toolkit which includes in-depth information about the CCI.

 

Orange County

9-9-korean-american-senior-association-edited9/9 – More than 400 Korean American Seniors gathered to celebrate the Korean Thanksgiving Fall Festival “Chu-Seok” at the Garden Grove Community Center.  Outreach coordinators shared OneCare Connect materials with seniors and key stakeholders in Orange County’s Korean community. Many attendees visited the CCI information table and learned about the benefits of OneCare Connect, care coordination, continuity of care, and plan eligibility.

 

Santa Clara County

9-8-molina-edited9/29 – At the 24th Annual Senior Wellness and Resource Fair, an outreach coordinator provided a CCI workshop to an audience of seniors, providers, Santa Clara County staff, and community organizations. The participants appreciated learning about the plan’s benefits, especially care coordination.

 

Other Recent Outreach Events

 

Los Angeles County:

  • 9/1 – Presentation for beneficiaries at City of Montebello Senior Citizen Center
  • 9/9 – Presentation at Banning Senior Citizens’ Center
  • 9/14 – Informational table for seniors at the City of Commerce Senior Center
  • 9/17 – Informational table for seniors at Golden Future Senior Expo
  • 9/22 – Informational table for seniors and family members at the Anderson Munger Family YMCA in Koreatown
  • 9/23 – Informational table for beneficiaries at Homeless Care Days Resource Fair in MacArthur Park
  • 9/24 – Health Fair with Congresswoman Lauren Sanchez in Garden Grove
  • 9/28 – Presentation at the Koreatown Senior and Community Center
  • 9/29 – Informational table for seniors and family members at the Anderson Munger Family YMCA

Orange County

  • 9/7 – Presentation at Cypress Adult Day Health Center
  • 9/13 – OneCare Connect Presentation for medical and billing staff at Give for A Smile & Dr. Sanchez’ office
  • 9/27 – OneCare Connect webinar for Orange County stakeholders and advocates
  • 9/28 – OneCare Connect webinar for Orange County providers
  • 9/29 – Information table at CalOptima Community Resource Fair
  • 9/30 – Information table at the Center for Successful Aging’s 2nd Annual Conference & Expo

Riverside & San Bernardino Counties

  • 9/9 – Informational table at Fontana Community Senior Center
  • 9/15 – Senior and Caregiver Cal MediConnect Town Hall & Resource Fair
  • 9/17 – Presentation and informational table at the High Desert Symposium for People with Disabilities
  • 9/22 – Presentation at the Community Clinics Association of San Bernardino 5th Annual Symposium

San Diego County

  • 9/7 – Presentation at South Bay Senior Providers meeting
  • 9/14 – Presentation at North County Health Providers meeting
  • 9/15 – Best Senior Care Choices Conference
  • 9/22 – Presentation to Care1st Medi-Cal LTSS Outreach Team
  • 9/27 – Presentation at North County Community Action Network Meeting
  • 9/27 – Informational table at the Live Stronger, Longer Health Fair
  • 9/28 – Presentation at HHSA, Aging & Independent Services, Ombudsman Program San Diego

Santa Clara County

  • 9/5 – Informational table for seniors and caregivers at Vietnamese Family Support Group
  • 9/7 – Presentation at Seven Trees Neighborhood Association
  • 9/14 – Presentation at the Santa Clara Senior Care Commission
  • 9/15 – Webinar for Santa Clara County providers
  • 9/23 – Presentation for IHSS providers
  • 9/24 – Presentation at Silicon Valley’s Independent Living Center
  • 9/27 – Presentation and informational table for Chinese-speaking IHSS providers
  • 9/28 – Presentation for seniors at Wesley Manor
  • 9/29 – Informational table for seniors and caregivers at the 24th Annual Senior Wellness and Resource Fair
  • 9/29 Presentation for seniors at Liberty Tower
  • 9/30 Presentation and information table for Spanish-speaking IHSS providers

Final MLTSS Resource Guide and Choice Book

Posted by on Oct 6, 2016 in NEWS | 3 comments

NEW MLTSS Enrollment Materials Finalized

Managed Care Resource Guide and Choice Book for New Dual Eligible Beneficiaries in CCI Counties

 

The Department of Health Care Services (DHCS) is proud to announce the new Medi-Cal Managed Care Plan Resource Guide and Choice Book.

These materials will be mailed to two groups of dual eligible beneficiaries as a part of their regular enrollment process:
• New dual eligible beneficiaries who have Medicare first and later gain Medi-Cal eligibility in CCI counties; and
• Existing dual eligible beneficiaries who move into a CCI county.

All of these beneficiaries are already required to enroll into a Medi-Cal managed care health plans (MCP) for their Managed Long-Term Services and Supports (MLTSS) in order to receive their Medi-Cal benefits. These new materials will ensure that this group of beneficiaries receives information on all of their available options – including Cal MediConnect.

The new materials incorporate some of the lessons learned about how to most effectively communicate with dual eligible beneficiaries about the CCI, including feedback from stakeholder input and beneficiary testing. Prior to being finalized, these materials underwent a final literacy review to ensure that they meet readability standards and are not above a sixth-grade reading level. All final materials are also being translated into threshold languages and will be available in accessible formats, as required.

Click below to access the new MLTSS enrollment materials:

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ATTENTION:

These materials are SAMPLES, created specifically for stakeholders to view. In these samples, CareMore was mistakenly omitted as a Cal MediConnect option.  Actual mailings to beneficiaries will accurately reflect all health plan options for the county in which the beneficiary lives, including CareMore. To avoid confusion, a corrected sample will be posted shortly.

Any questions can be sent to info@calduals.org.

September Outreach Events Recap

Posted by on Sep 21, 2016 in NEWS | 0 comments

Highlighted Outreach Events

 

Riverside County

8-4-scdd-and-hicap8/4 – In partnership with California State Council on Developmental Disabilities (SCDD) and HICAP, state outreach staff provided a presentation for case managers and social workers from the Inland Regional Center. Following the presentation, attendees participated in conversations and asked questions about real cases and questions they encounter through their work. Future collaborative presentations are scheduled this year, see the CalDuals.org outreach calendar for more details.

 


8-10-alzheimers-activity-center

Santa Clara County

8/10 – Caregivers at the Alzheimer’s Activity Center learned more about the CCI during a presentation that included information on benefits, how to join, and eligibility.  Attendees asked questions about the program, the benefits of joining Cal MediConnect, and how the program works with adult day centers and other long-term services and supports.

 

 

8-16-city-of-perris-senior-centerRiverside County

8/16 – In collaboration with Molina Healthcare, state outreach staff educated beneficiaries about the CCI at the City of Perris Senior Center. Over a dozen seniors, including a monolingual Spanish-speaking group, gathered to learn more about Cal MediConnect, care coordination, the benefits of joining, and how the program works with their current providers.

 

8-22-health-quality-partners

San Diego County

8/22 – Outreach coordinators and certified enrollment counselors with Health Quality Partners (HQP) learned more about the CCI during a presentation which covered Cal MediConnect, recent changes to the continuity of care policy, and the value of coordinated care.  Attendees asked questions that about topics they encounter as they work with beneficiaries, such as eligibility, the enrollment process, and the benefits of joining the program.

 

 

8-27-community-health-fair

Los Angeles County

8/27 – Seniors and their family members attended the 48th Assembly District Community Health Fair to learn about Cal MediConnect and other health services available in their district. A presentation focused on Cal MediConnect eligibility, the terms of continuity of care, care coordination, and the health plans available to beneficiaries. The health fair also featured free health screenings and other healthy activities. The event was hosted by Assemblymember Roger Hernandez.

 

 

 

 

8-31-congregational-community-churchSan Diego County

8/31 – Congregational Community Church organized a Cal MediConnect outreach session for its members who qualify for the program. The discussion focused on the importance of care coordination, the benefits available through Cal MediConnect, continuity of care, and how to join. The group asked many questions about eligibility, balance billing, and the available health plans. Attendees received copies of the new Beneficiary Toolkit and people reported the material was easy to understand and helpful.

 

 

Other Recent Outreach Events

 

Los Angeles County:

August 12: Informational table for beneficiaries at Homeless Care Days Resource Fair.

August 15: Informational table for seniors and their family members during Promotion Day at Anderson Munger Family YMCA.

August 18: Webinar for Los Angeles County advocates.

August 19: Webinar for Los Angeles County providers.

August 23: Presentation for psychiatric social workers at the Los Angeles County Department of Mental Health.

August 23: Presentation for billing staff at the Los Angeles County Department of Mental Health.

August 25: Presentation to seniors at El Monte Senior Center.

August 31: Presentation for members of the East Los Angeles Disability and Senior Collaborative.

August 31: Presentation for seniors at City of Montebello Senior Center.

August 31: Presentation to Molina Healthcare Provider Outreach Staff at its headquarters in Long Beach.

August 26: Informational table for seniors at Homeless Care Days Resource Fair.

 

Orange County:

August 20: Informational table at the Super Senior Saturday Resource Fair.

August 24: Presentation for staff and beneficiaries at Give for a Smile.

August 30: Webinar for Orange County advocates, stakeholders and caregivers.

August 31: Webinar for Orange County Providers.

 

Riverside and San Bernardino Counties:

August 16: Webinar for Inland Empire advocates.

August 17: Webinar for Inland Empire providers.

August 23: Informational table for seniors at the Eastside Senior Fitness Fair Expo.

 

San Diego County:

August 1: Presentation for providers at the monthly National City Collaborative Partners meeting.

August 2: Presentation for Filipino-American seniors at the Paradise Valley Community Church & Services Food Distribution event.

August 11: Community Health Improvement Partners Behavioral Work Group meeting.

August 16: Presentation for volunteers at the AARP Chula Vista Community Action Team meeting.

August 30: Webinar for San Diego providers.

 

Santa Clara County:

August 18: Webinar for Santa Clara Physicians and other medical providers.

August 19: Webinar for Omayra Ortega.

August 22: Informational table for homeless advocates at the Winter Faith Collaborative.