Medi-Cal

About Medi-Cal

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.

5 Things To Know: Medi-Cal Enrollment Systems and Disenrollments, White Paper, Supplier Diversity Reports, Overdose Prevention And Outreach, EMS System Plan

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 lwade@hasdic.org with any questions or concerns.

5 Things To Know: Transitions Of Care Sub Workgroup, Feedback Sought, Behavioral Health Scholarships, Cybersecurity, Webinar

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 csumek@hasdic.org.   

5 Things To Know: San Diego County Budget, State Budget May Revision, Mental Health Awareness Month, Mark Your Calendars, New Substance Use Disorder Resources

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.  

5 Things To Know: Fentanyl Awareness Day, Hospitals Needed For Performance Improvement Project, Base Station Hospital System And Trauma Center Catchment Area Designations Assessment, Covid-19 Data Reporting, Medi-Cal Scam Alert

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

5 Things To Know: Public Safety Power Shutoffs, Medi-Cal Rx, Minority Fellowship Program, Patient Safety Evaluation Summit, Behavioral Health System

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

5 Things To Know: COVID-19 Uninsured Group Program, Medi-Cal and CalFresh, Funding Opportunity, Health Plans, COVID-19 Health Orders

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.”  

5 Things To Know: Office of Health Care Affordability, Medi-Cal Budget Request, Veterans in Suicidal Crisis, Empath Unit Deadline Extended, Behavioral Health Playbook

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 bjohnson@calhospital.org with any questions.  

5 Things To Know: Webinar Speakers Needed, Care Court Implementation Funding, CHA Advocacy Materials, Medi-Cal RX, Scholarship Applications

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 aahmad@chpso.org 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. 

5 Things To Know: Fentanyl Screening, Community Health Needs Assessment (CHNA), CHA Forum, State of Emergency, Behavioral Health

FENTANYL SCREENING: The California Department of Public Health has issued an All Facilities Letter (AFL) 22-25 on fentanyl screening. The AFL notifies general acute care hospitals (GACH) of the passage of Senate Bill 864 (Chapter 169, Statutes of 2022) and its requirement that a GACH that is conducting a diagnostic urine drug screening must also include testing for fentanyl, until Jan. 1, 2028. For questions about this AFL, hospitals should contact their respective district office.

5 Things To Know: Community Health Needs Assessment (CHNA), Nursing Grants, Report on State Legislation, Medi-Cal RX Expansion, AHA Suicide Prevention Resources

COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): Please join HASD&IC and CHNA-participating hospitals, health systems, and health districts for a community stakeholder briefing  from 10 to 11:30 a.m. (PT) Nov. 29. The briefing will include a presentation on the 2022 CHNA as well as a discussion about potential future research and the next steps to address the identified community needs. Please forward this information to anyone in your network who might be interested in attending. The 2022 CHNA report is available on the HASD&IC website. After reviewing the report, please consider sharing your feedback through our survey.