California Healthline: Assembly Bill Would Keep Adult Day Program Going
by David Gorn It was a watershed moment for state officials and senior health advocates in March, 2012 when California launched the Community Based Adult Services (CBAS) program, borne of a lawsuit settlement. It was an effort that calmed political waters and dealt with the 35,000 frail and elderly Californians who had been part of the … Read more
California Healthline: Public Involvement in Managed Care Licensing?
by David Gorn Thirteen bills came before the Assembly Committee on Health yesterday and all 13 were approved, but not all them got a red-carpet reception. One of the bills that stirred up opposition from health plans was a proposal by Assembly member Roger Dickinson (D-Sacramento) to open the managed care licensing process to public … Read more
California Healthline: New Survey Offers First Data on Managed Care Shift
by David Gorn A survey released yesterday revealed strengths and weaknesses in the state’s 2011 transition of about 172,000 seniors and persons with disabilities into Medi-Cal managed care plans. Two-thirds of the responding beneficiaries said their care was the same or better than it had been before the transition but the survey raised concerns on … Read more
Medi-Cal Update Community – Based Adult Services (formerly Adult Day Health Care Centers)
March 2013 | Bulletin 462 Contents Community-Based Adult Services: Recipient Eligibility Determination Subscribe Today to Receive Medi-Cal Notifications via Email End Date for ASC X12N 4010A1 and NCPDP 5.1/1.1 Transactions CMC Error Messages for HIPAA 4010 Transactions Solutions for Denied MERs from Mandatory Enrollment into a Medi-Cal Managed Care Plan Authorized Drug Manufacturer Labeler Codes … Read more
California Healthline: CBAS Hearings Nearing an End
By David Gorn Of the roughly 2,600 appeal hearings filed over eligibility for the Community Based Adult Services program, only 47 are still to be heard, according to Michael Weston, deputy director of public affairs for the Department of Social Services. Administrative law judges from the Department of Social Services heard the appeal hearings and … Read more
California Healthline: Oversight Hearing on CBAS Transition Generates Sparks
by David Gorn A legislative oversight hearing last week on the transition of about 37,000 frail and elderly enrollees from the Adult Day Health Care program, which was eliminated by the state, into the Community Based Adult Services managed care program was marked by skepticism and criticism. One year after the settlement of a lawsuit … Read more
California Healthline: 5.3M Californians Drew Government Assistance in 2011, Report Finds
About 5.3 million California residents in 2011 received income-based government assistance — including health insurance benefits through Medi-Cal — according to a Census Bureau report, the Sacramento Bee‘s “Capitol Alert” reports (Walters, “Capitol Alert,” Sacramento Bee, 2/26). Medi-Cal is California’s Medicaid program. National Findings The report found that about 46 million U.S. residents received income-based government assistance in … Read more
California Healthline: Community-Based Care Reduces Readmissions, Cuts Costs, Study Finds
A CMS pilot program aimed at leveraging community-based health care successfully lowered 30-day readmission rates and all-cause hospitalizations among Medicare beneficiaries over a two-year period, according to a study published Wednesday in the Journal of the American Medical Association, Kaiser Health News‘ “Capsules” reports. Study Details For the project, health care providers, social service workers and other community members … Read more
California Healthline: State Delays Adult Day Center Not-for-Profit Requirement
by David Gorn The requirement that adult day health care centers become not-for-profit operations has been delayed at least a year, according to Department of Health Care Services officials. A Dec. 31 letter to centers caring for the frail and elderly population in the Community Based Adult Services program said “DHCS has decided to postpone … Read more
LA Times: State sued over Medi-Cal patients’ switch to managed care
The lawsuit says the recipients’ rights were violated and they lost access to their doctors in the transition. December 23, 2012|By Anna Gorman, Los Angeles Times Legal aid organizations filed a lawsuit Friday against the California Department of Health Care Services, alleging that the state violated patients’ rights by forcing them into managed care. The … Read more
