Health Care Access Forum – Thursday, February 29th
9:00 – 10:00 AM Networking Breakfast (in person)
9:15 – 10:00 AM Zoom Networking Breakout Rooms (online)
10 AM – Noon Forum
Capitol Event Center (1020 11th Street, 2nd Floor, Sacramento) OR via Zoom
This is a members-only event. Register Below!
Need help registering? Please email Andrea at firstname.lastname@example.org
COALITION MEETING TRAVEL AND LODGING INFORMATION
The Capitol Event Center is located on 11th Street between J Street and K Street, across the square from the Cathedral. Look for an SEIU sign on the first floor of the building from the outside. Our entrance door is on the side of the building facing the Cathedral and next to There And Back Again Cafe.
The event space is upstairs on the 2nd floor, so you'll take the elevator from the first floor. Look for signage on the day to direct you.
FROM THE EAST (NORTH LAKE TAHOE / NEVADA CITY / GRASS VALLEY AREA):
Take I-80 West to I-5 South Take the J Street exit toward Downtown Stay on J Street and turn right on 11th Street
(SOUTH LAKE TAHOE / PLACERVILLE AREA):
Take Highway 50 West Take the 16th Street exit Turn right at 16th Street Turn left at I Street Turn left at 11th Street
FROM THE NORTH (REDDING AREA) or SOUTH (STOCKTON AREA):
Take I-5 Take the J Street exit toward Downtown Stay on J Street and turn right on 11th Street
FROM THE WEST (SAN FRANCISCO AREA):
Take I-80 East to I-5 North Take the J Street exit toward Downtown Stay on J Street and turn right on 11th Street
FROM SACRAMENTO INTERNATIONAL AIRPORT:
Take I-5 South Take J street exit Turn right onto 11th Street
Parking is available on a first-come, first-served basis in surrounding parking garages or lots or on the street for an hourly fee.
- Priority Parking Lot Across the street from the venue
1111J St (on the left hand side, ramp down to parking, next to a large mural of a painting and Elks Building, parking kiosk)
- City Hall Garage
11th & I Street
$1.50 each half hour or fraction thereof; $25 daily max
4 min walk to venue
- Capitol Parking Garage
10th Street between K St. and L Street
Rate: Same as above
3 min walk to venue
These hotels are for your reference if you will be staying overnight in Sacramento. Please call hotels individually for rates.
Don’t forget to get your 2024 Health Care Access Forum Membership! You can find the different options below-
To request an invoice, pay via check, or for any other questions regarding membership, please email email@example.com.
30-Day Countdown – Phase III, Lift 4: Retirement of the Transition Policy for Beneficiaries 22 Years of Age and Older
May 23, 2023
On June 23, 2023, Phase III, Lift 4 (P3/L4) will be implemented, lifting the Transition Policy for 46 Standard Therapeutic Classes (STCs). This is the fourth in a series of lifts to retire the Transition Policy by lifting the override of NCPDP Reject Code 75 – Prior Authorization Required.
Discontinuation of the COVID-19 Uninsured Group Program
May 1, 2023
On February 9, 2023, the States received a 90 day notice from the Federal Government that the federal Coronavirus 2019 (COVID-19) Public Health Emergency (PHE) will end on May 11, 2023. Therefore, California’s COVID-19 Uninsured Group (UIG) program will end on May 31, 2023.
• The COVID-19 UIG program ends May 31, 2023.
• The COVID-19 UIG Application Portal will be decommissioned effective June 1, 2023. Access to the COVID-19 UIG Application Portal will be decommissioned effective June 1, 2023.
Information about Scam Risks to Medi-Cal Members
April 28, 2023
DHCS is aware of scammers and bad actors nationwide contacting Medicaid members requesting a fee to help them apply for or renew their Medicaid coverage. Medi-Cal members in California are also being targeted.
Medi-Cal members should know that Medi-Cal never requires payment during the application or renewal process.
DHCS urges stakeholders to use our toolkits in all outreach efforts. Additionally, it is important to educate Medi-Cal members about how they can expect to be contacted through official legitimate sources. If there are questions, Medi-Cal members can work with their local community partners or contact their county Medi-Cal office.
DHCS Telehealth Policy Updates
January 6, 2023
DHCS is making permanent many telehealth flexibilities from the COVID-19 public health emergency (PHE), including payment parity and broad coverage for clinically appropriate telehealth services. The updated policy will be published on January 16 in the Medi-Cal Provider Manual for telehealth, which will contain guidance on consent, establishing new patients via telehealth, billing guidance for services provided via audio-only, and brief virtual communications and check-ins. Medi-Cal Telehealth webpage.
Changes in Public Charge Rule Implementation
December 23, 2022
On December 22, DHCS released All County Welfare Directors Letter (ACWDL) 22-34 to inform counties of the final rule, entitled “Public Charge Ground of Inadmissibility” (2022 Final Rule), published by the U.S. Department of Homeland Security on September 9, 2022. Effective December 23, the 2022 Final Rule restores previous policies, including the exclusion of Medicaid when determining the use of public benefits, with the exception of long-term institutionalized care, and will apply to applications for visas, admission, and adjustment of status postmarked on or after the effective date. The ACWDL reminds counties that the 2022 Final Rule does not change whether individuals can apply for and receive public benefits. The public charge status of a Medi-Cal applicant or member has no impact on their eligibility for Medi-Cal benefits. In September, an updated Public Charge Guide was posted (in 21 languages) on the California Health & Human Services Agency website to serve as a resource for individuals and families with questions about the current federal public charge policy.
Four New Documents from MASAC
May 19, 2023
NHF’s Medical and Scientific Advisory Council (MASAC) recently issued four new documents, which are now available for easy access. These documents include:
• MASAC Recommendations Regarding Physical Therapy Management for the Care of Persons with Bleeding Disorders
• MASAC Recommendations Concerning Products Licensed for the Treatment of Hemophilia and Selected Disorders of the Coagulation System
• MASAC Recommendations on Hemophilia Treatment Center Preparedness for Delivering Gene Therapy for Hemophilia
• MASAC Recommendations on Administration of Vaccines to Individuals with Bleeding Disorders
For more information please visit the National Hemophilia Foundation website.
DHCS Director Baass’ Message about the end of the COVID-19 Public Health Emergency
May 12, 2023
As a reminder, the end of the federal COVID-19 PHE has implications for Medicaid and the Children’s Health Insurance Program (CHIP). DHCS acted to make permanent several flexibilities implemented over the course of the PHE. Below is a summary of end dates for key federal Medicaid provisions, with additional details on how DHCS unwound the PHE in the Medi-Cal program.
Medicaid and CHIP COVID-19 provisions under the American Rescue Plan Act (ARPA):
- No-Cost Coverage for COVID-19 Vaccines, Testing, and Treatment for Medi-Cal Members: Medicaid is required to cover COVID-19 vaccines, testing, and treatment with no cost-sharing for members through the end of the ARPA coverage period on September 30, 2024. DHCS is electing to permanently extend coverage for COVID-19 vaccines, testing, and treatment beyond the ARPA coverage period.
- Optional COVID-19 Group for Uninsured Individuals: California has taken advantage of the “optional COVID-19 group,” also referred to as the COVID-19 Uninsured Group, that provided uninsured individuals with coverage for COVID-19 vaccines, testing, and treatment. This coverage expires on May 31 and DHCS began sending notices to individuals enrolled in the COVID-19 Uninsured Group about the program’s sunset along with a Single Streamlined Application to apply for Medi-Cal or Covered California coverage in late April 2023.
- Enhanced Federal Match for COVID-19 Vaccines and Vaccine Administration: States receive 100 percent federal matching funds for coverage of vaccines and vaccine administration, as enacted by ARPA. These matching funds also end on September 30, 2024. As described above, Medi-Cal will continue to cover COVID-19 vaccines.
Five Plans to Serve Medi-Cal Managed Care Members under Agreement
January 6, 2023
On December 30, DHCS and five commercial health plans – Blue Cross of California Partnership Plan (“Anthem”), Blue Shield of California Promise Health Plan, CHG Foundation d.b.a. Community Health Group Partnership Plan, Health Net Community Solutions, Inc. and Molina Healthcare of California – announced an agreement to deliver Medi-Cal services to Medi-Cal managed care members in 21 counties across the state starting in January 2024. RFP #20-10029 for the Medi-Cal MCPs was cancelled.
Public Health Emergency Decoupled from California Medi-Cal Redeterminations as of April 1
January 4, 2023
On December 29, President Biden signed into law the Consolidated Appropriations Act of 2023 (also referred to as the omnibus spending bill), which has broad implications for the Medi-Cal program and in particular the resumption of Medi-Cal redeterminations. Previously, the resumption of Medi-Cal redeterminations was tied to the termination of the COVID-19 public health emergency (PHE). With the passage of this bill, the continuous coverage requirements that paused all Medi-Cal redeterminations since March 2020 would be decoupled from the PHE termination date as of April 1, 2023, setting the stage for the resumption of Medi-Cal redeterminations.
About the Health Care Access Forums
HCC hosts quarterly Health Care Access Forums each year, connecting stakeholders to discuss and address solutions to potential threats and significant changes to public and private health insurance, state programs, therapies and services, and provider relationships that affect quality of care for people with bleeding disorders. HCC’s Health Care Access Forums help solve patient access issues and improve collaboration among healthcare providers, pharmacies, and state health care departments.
2024 Health Care Access Forum Dates
Thursday, February 29 (HYBRID)
Thursday, May 23 (online-only)
Thursday, September 26 (HYBRID)
Thursday, December 5 (online-only)