On Wednesday, October 9, 2024, from 11:00 a.m. – 12:00
p.m., the Department of Health Care Services (DHCS) will
host an all-comer webinar on two new policies intended to make it
easier for Medi-Cal Managed Care Plan (MCP) Members to be
referred to and engage in Enhanced
Care Management (ECM) services. Specifically, the webinar
will walk attendees through the newly released
ECM Referral Standards and the
ECM presumptive authorization policy.
In this webinar, which will be of special interest to MCPs,
providers, and organizations referring clients to ECM, DHCS
leaders will provide:
An overview of why DHCS reforms that streamline referrals and
authorizations for ECM are important for referral partners and
Members.
An overview of the ECM Referral Standards, which standardize
the set of information all MCPs will collect via ECM referrals.
Effective January 2025, entities making referrals to ECM will be
able to submit the same information in their ECM referrals across
counties and MCPs rather than navigating different information
requests across referral forms or batch templates.
An overview of updated requirements for Managed Care Plans
(MCPs) to expand the use of ECM presumptive authorization, so
more ECM Providers can start serving Members right away.
Effective January 2025, select ECM Providers already contracted
in an MCP’s ECM Provider network will be able to authorize ECM
for Members and be paid for ECM services during a 30-day
timeframe while waiting for an MCP’s authorization decision.
Advance registration is required.
Register Here. Participants are invited to submit questions
with their webinar registration or to CalAIMECMILOS@dhcs.ca.gov
in advance of the webinar. Attendees will also have an
opportunity to ask questions during the session.
