California Healthline: Stung by Pointed Criticism, Department Aims for a Better Stakeholder Process

In Washington, it's called the Affordable Care Act. In Sacramento, it could be become known as another budget buster. (Mark Boster / Los Angeles Times / July 9, 2012)

By David Gorn Department of Health Care Services officials launched a public engagement initiative last week to revamp the way the department interacts with stakeholders and consumer representatives. The announcement comes after mounting criticism from legislators and stakeholders dealing with the changing, growing department. DHCS released a two-page overview of the initiativelast week. The public is … Continue reading

California Healthline: Assembly Health Committee Chair Rips DHCS for Lack of Cooperation, Poor Care

by David Gorn The chair of the Assembly Committee on Health yesterday detailed two years’ worth of frustration and exasperation with the handling of asthma and allergy care by the Department of Health Care Services. “This hearing is being held to see if the rules and restrictions in Medi-Cal interfere with providing quality care,” said … Continue reading

CA DHCS CCI Update

From CA DHCS:   Today (Thursday, May 1), the Department of Health Care Service (DHCS) is announcing a Medicare Advantage policy proposal to reflect the continued respect for beneficiary choice, promote enrollment into Cal MediConnect, and advance the goals of coordinated care as set forth in the Coordinated Care Initiative (CCI).  DHCS has outlined its … Continue reading

California Healthline: Legislative Analyst Pushes for Better Oversight of Health Care Services

by David Gorn A state legislative analyst last week said his department has “numerous concerns” about a lack of public reporting at the state’s Department of Health Care Services. The Legislative Analyst’s Office released a report last month raising questions about the department’s failure to report on monitoring measures in its fee-for-service access data.  In a Feb. 24 … Continue reading

Jose Quintanilla, puts his shirt back on after getting a pneumonia shot at the adult primary care clinic at San Francisco General, on Thursday June 28, 2012, in San Francisco, Calif., where 36% of the patients are uninsured and 28% are on Medicare. In a divided but stunning decision, the U.S. Supreme Court on Thursday upheld virtually all of the far-reaching law crafted by President Obama to extend health coverage to most uninsured Americans. The narrow 5-4 ruling was a victory for Obama but also will serve as a rallying issue for Republicans calling for repeal of the Affordable Care Act passed by Democrats in 2010. Photo: Michael Macor, The Chronicle / SF

From our colleagues at CA DHCS:  The Department of Health Care Services (DHCS) is re-releasing the draft Los Angeles County Enrollment Strategy for public comment. Comments on previous versions of the proposal were received in July 2013 with 28 entities responding and December 2013 with 18 entities responding. Important changes in LA County have lead DHCS to re-releasing the LA enrollment document prior to finalization. … Continue reading

DHCS: CCI Update

From our colleagues at CA DHCS:  Today, the Centers for Medicare and Medicaid Services (CMS) announced the results of a program audit of CalOptima’s dual eligible special needs plan product.  As a consequence of this audit, Cal MediConnect in Orange County will not move forward until CalOptima has taken the immediate corrective actions required by … Continue reading

CCI Update

From Jane Ogle, Deputy Director, Health Care Delivery Systems, Department of Health Care Services: Cal MediConnect Ombudsman Program Update On January 13, 2014, the Department of Managed Health Care (DMHC) released the Cal MediConnect Ombudsman Program Request for Proposals (RFP). The RFP can be accessed here (http://www.dmhc.ca.gov/library/reports/news/RFP13MCSA010.pdf).  The deadline to submit a proposal is January 28, 2014 … Continue reading

California DHCS Stakeholders Communications Update The Department of Health Care Services (DHCS) is pleased to provide this bimonthly update of important events and actions at the department. Each update will include information on upcoming meetings, presentations, notices, press announcements, solicitations for input or services, and more. Stakeholders and partners are urged to contact DHCS by … Continue reading

LA Care: Draft Three-Way Contract Released to Health Plans

Once finalized, most plans will have until December 13 to accept the terms and execute the contract. The Centers for Medicare and Medicaid Services (CMS) in partnership with California Department of Health Care Services (DHCS) released the draft three-way contract to the Cal MediConnect health plans on November 6.  L.A. Care and other participating Cal … Continue reading

California Healthline: DHCS Director Apologizes at Hearing Examining Medi-Cal Drug Program Fraud

by David Gorn   Department of Health Care Services director Toby Douglas apologized for “lapses in state oversight” of a Medi-Cal drug abuse treatment program at a hearing yesterday in Sacramento. “I’m here to tell you that we are sorry that we did not take action sooner,” Douglas said. “We now know the extent of the … Continue reading

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