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medi-cal Archives - National Consortium of Telehealth Research Centers

California’s New Medi-Cal Telehealth Reimbursement Policies Released with Major Changes

By | Center for Connected Health Policy

Original Source: Center for Connected Health Policy

In mid-August, the California Department of Health Care Services (DHCS) released its finalized telehealth policy update for the following:

  • Medi-Cal (California’s Medicaid Program) fee-for-service program
  • An All Plan Letter (APL) for Managed Care
  • Indian Health Services, Memorandum of Agreement (IHS-MOAs)
  • Family Plan, Access, Care and Treatment (Family PACT)
  • Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)
  • Local Education Agency (LEA)
  • Vision Care

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Medicare Proposed 2020 PFS & California Medicaid Policy

By | Center for Connected Health Policy

Original Source: Center for Connected Health Policy

 

Medi-Cal Telehealth Fee-For-Service Policy Update

On July 29, 2019, the California Department of Health Care Services (DHCS) which oversees the state’s Medicaid program (Medi-Cal), released their final telehealth policy update for fee-for-service.  In October 2018, DHCS released proposed changes to telehealth policies for Medi-Cal fee-for-service, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Indian Health Services (IHS) and Family Planning, Access, Care and Treatment (FPACT).  A copy of the final fee-for-service policy is available on the DHCS website though it is still labeled “DRAFT.”  The Department states that while this is the final policy, the official version of the policy will be published on their site later this month along with the updated manuals for FQHCs, RHCs, IHS, and FPACT.  When all manuals have been released, CCHP will do an in-depth analysis of all of the new policies.  In the meantime, CCHP has created a side-by-side comparison of Medi-Cal’s previous policy, the October 2018 proposal and the final proposal as well as highlighting some of the changes in the final policy.

CCHP will also be holding an informational webinar in the Fall to go over these exciting changes in Medi-Cal’s policies.  Stay tuned for more information.

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California DHCS Releases Comment Responses to Proposed Telehealth Policy

By | Center for Connected Health Policy

Original Source: Center for Connected Health Policy

In late 2018, the California Department of Health Care Services (DHCS), which administers California’s Medicaid program (Medi-Cal), released proposed updates to their telehealth policy manuals, including those for fee-for-service, managed care, Indian Health Services, Family Plan, Access, Care and Treatment (Family PACT), dentistry and federally qualified health centers/rural health clinics (FQHC/RHCs).  Proposed policy changes included allowing the distant site/treating provider to decide when it is appropriate for telehealth to be used and whether it should be via live video or store-and-forward.  E-consult (provider to provider consultation), falling under the auspice of store-and-forward, would also be reimbursed under the new policy.  As part of their drafting process, DHCS solicited feedback from telehealth stakeholders on their proposed policy.
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Issue in Focus: California Department Health Care Services Solicits Feedback on Major Telehealth Policy Changes

By | Center for Connected Health Policy

The California Department of Health Care Services (DHCS) released two draft proposals impacting telehealth policy in the state’s Medicaid program known as Medi-Cal.  The Department is soliciting feedback from interested stakeholders on both proposals.

California State Plan Amendment

The first proposal is a State Plan Amendment (SPA) intended for submission to the Centers for Medicare and Medicaid Services (CMS), that provides clarification as to when services provided outside of the “Four Walls” of a federally qualified health center (FQHC) or  rural health center (RHC) is eligible for the prospective payment system (PPS).  It is proposed that all such services be paid the PPS when rendered to homebound, migratory, seasonal workers and homeless patients, patients in the hospital, dental services rendered to established patients by a contracted dental provider, and telehealth services provided to its established patients when certain requirements are met.

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CCHP Releases Report Detailing Complexity of Accessing Telehealth MAT Services to treat Opioid Use Disorder in California Medicaid (Medi-Cal)

By | Center for Connected Health Policy

Original Source: Center for Connected Health Policy

Over the past year, CCHP has conducted in-depth research into the intricacies and barriers around utilizing telehealth to access medication assisted therapy (MAT) for purposes of treating opioid use disorder (OUD) in California’s Medicaid Program (Medi-Cal).  CCHP has issued a new report detailing its findings and making recommendations to help facilitate greater access to MAT services through telehealth in California. Read More