Every year, California’s hospitals treat millions of patients, many of them covered by Medi-Cal, the state’s health care safety net. This includes numerous essential health care services for Californians, including care for more than 50% of all births, 46% of behavioral health-related emergency department visits, 58% of rural hospital patient care days, 1 million inpatient stays, and nearly 16 million outpatient visits in 2018. CHA is committed to protecting Medi-Cal rates and assuring that the state’s neediest maintain access to the high quality of care that all Californians deserve.
MEDI-CAL REDETERMINATIONS: The Department of Health Care Services has published a new interactive dashboard detailing statewide and county-level demographic data on Medi-Cal application processing, enrollments, redeterminations, and renewal outcomes. Preliminary data on the Medi-Cal redeterminations show that in San Diego County, 16,336 Medi-Cal beneficiaries were disenrolled effective June 30. In Imperial County, 1,482 beneficiaries were […]
MEDI-CAL MANAGED CARE PLAN TRANSITION: The Department of Health Care Services (DHCS) has released an All Plan Letter that provides guidance to all Medi-Cal managed care health plans (MCPs) regarding the 2024 MCP Transition, which is effective Jan. 1, 2024. In addition, DHCS has developed the 2024 Managed Care Plan Transition Policy Guide, which establishes and details the requirements for the implementation of the 2024 MCP Transition. The Policy Guide was initially published in May 2023 and will continue to be updated throughout 2023. All updates will be specifically identified in a dedicated section in the Policy Guide and will outline updates from prior versions in order to manage version history. The Policy Guide, which is also available on the DHCS 2024 MCP Transition web page, will denote effective dates and end dates, if applicable, to the specific policies contained therein.
MEDI-CAL ENROLLMENT SYSTEMS AND DISENROLLMENTS: The current enrollment system (MyBenefits CalWIN) that hospitals, clinics, schools, and social service providers use to connect San Diegans to CalFresh and Medi-Cal will shut down on June 29. The new system, BenefitsCal, will not be available until July 3. As a result, hospitals will have to use alternate methods for assisting patients with Medi-Cal applications between June 29 and July 3. July 1 is also the first month that Medi-Cal beneficiaries will be disenrolled if they didn’t renew their coverage. Please reach out to Lindsey Wade at firstname.lastname@example.org with any questions or concerns.
TRANSITIONS OF CARE SUB WORKGROUP: The county of San Diego, along with the Legal Aid Society of San Diego and HASD&IC, helped establish a sub workgroup of the Healthy San Diego Dual Eligible/Long Term Services & Supports (LTSS) Workgroup — the Transitions of Care Sub Workgroup. The Sub Workgroup will focus on pressing matters caused by the gaps and challenges in keeping older/disabled adults receiving Medi-Cal connected to quality care and LTSS. The focus is on access to LTSS for older adults and the regional work around the dually eligible beneficiaries, and transitions of care, whether moving from the community or back into the community, and care coordination by the payer, including the providers and caregivers. If you or someone from your organization is interested in joining, please contact Caryn Sumek at email@example.com.
SAN DIEGO COUNTY BUDGET: The county has released its 2023-24 budget, which addresses a number of issues — homelessness, building healthy and safe communities, investing in working families, mental health and substance use disorders, sustainability, and justice reform. There is an opportunity for the community to comment and provide input before the board deliberates and adopts a budget at the end of June. Community meetings are being held this week, and next month, public hearings will take place.
FENTANYL AWARENESS DAY: People are dying at alarming rates due to illicit fentanyl, and May 9 is dedicated to raising awareness about this growing problem. Data from the San Diego County Medical Examiner’s Office show that fentanyl-related overdose deaths increased 2,375% in San Diego County, from 33 in 2016 to at least 817 in 2021. In Imperial County, seizures of fentanyl increased 272% from fiscal year (FY) 2019 to the third quarter of FY 2022, from 40 pounds to 149 pounds. More information is available on the San Diego County Health and Human Services Agency’s website.
PUBLIC SAFETY POWER SHUTOFFS: San Diego Gas & Electric (SDGE) is conducting two public safety power shutoff (PSPS) exercises and welcomes the attendance and participation of external stakeholders:
PSPS Tabletop Exercise: April 11, 8 a.m.-noon
PSPS Full-Scale Exercise: May 1-2
If you are interested in participating, please complete the Extent of Play Agreement and email a PDF copy to EMTrainingExercise@sdge.com. If you are interested in scheduling a tour for your organization, please reach out to EmergencyServices_SDGE@sdge.com
COVID-19 UNINSURED GROUP PROGRAM: The Department of Health Care Services (DHCS) is clarifying that coverage for this group expires on May 31 — the last day of the month in which the COVID-19 public health emergency ends — not May 11. California has taken advantage of the “optional COVID-19 group,” which provides uninsured and underinsured individuals with Medi-Cal coverage for COVID-19 vaccines, testing, and treatment at no cost to the individual through the COVID-19 Uninsured Group Program. Beginning March 20, DHCS will send the individuals in this group a sunset notice in their preferred language with a copy of the “Application for Health Insurance” and a “Notice of Language Services.”
OFFICE OF HEALTH CARE AFFORDABILITY: The California Hospital Association (CHA) has developed a web page for the new Office of Health Care Affordability. The web page contains background information on the office’s main responsibilities and implementation timelines. It will be updated as new information becomes available. Contact Ben Johnson at firstname.lastname@example.org with any questions.
WEBINAR SPEAKERS NEEDED: As part of their commitment to advancing safe, quality care, the Hospital Quality Institute/Collaborative Healthcare Patient Safety Organization, are launching a campaign to identify and recruit experts/front-line professionals who can speak on a variety of topics. Those topics include:
Please reach out to Asma Ahmad at email@example.com or (916) 552-2601 if there are individuals within your organization who have expertise in these subject areas (or on a topic that’s not listed) and would be willing to present for a one-hour webinar. In addition to the presentation, when appropriate, HQI/CHPSO intends to present real cases from the CHPSO database that will augment and enhance these forums.