CAHP Seminar: The Movement to More Integrated and Community-Based Care for California’s Dual Eligible Beneficiaries
February 26, 2020 – Marriott Burbank Airport Hotel & Convention Center
The Department of Health Care Services (DHCS) recently announced major changes to its program structure and benefit delivery under the Medi-Cal Healthier California for All initiative. One of the major components includes a transition of the Coordinated Care Initiative (CCI) and the Cal MediConnect (CMC) programs. This includes statewide mandatory enrollment of dually eligible beneficiaries into Medi-Cal Managed Care Plans, coverage of long-term care under the managed care benefit, and the implementation of statewide Managed Long-Term Services and Supports (MLTSS). Additionally, Dual-Eligible Special Needs Plans (D-SNPs) will be offered by all Medi-Cal Managed Care Plans in order to offer a voluntary option for these members to be enrolled in aligned products. As DHCS works with its partners and stakeholders to navigate this major shift it is imperative to understand the many moving pieces and how plans, providers, and members will all have to adjust to varying levels of delivery system and financing changes that will be required over the next several years.
Preparing for the Unexpected: Health Care During Emergencies & Power Shut-Offs
March 24, 2020 – Marriott Burbank Airport Hotel & Convention Center
In response to the recent increase in wildfires and related power outages across California health plans have had to examine their role in ensuring that members continue to have access to care during these natural disasters and emergency preparations. Ensuring that Californians can remain safe and healthy during natural disasters requires a complicated network of local and state services. The responsibility of health plans to support emergency responders and assist members in navigating this often-complicated system is essential. Roles in an emergency should be clearly defined so that there are agreed upon protocols and access to critical services can be maintained.