Health Care Access Forum

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Health Care Access Forum –  Thursday, May 23rd

Forum Schedule: 

9:15 – 10:00 AM     Networking Zoom Breakout Rooms

10 AM – Noon        Forum

Location:              ONLINE VIA ZOOM ONLY

This is a members-only event.     Register Below!

Need help registering?   Please email Andrea at apalladino@hemophiliaca.org

Have you renewed your membership? Need extra tickets? 

We have options to purchase your 2024 membership or extra tickets.

Questions? Email Andrea at apalladino@hemophiliaca.org.

Membership

 

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 apalladino@hemophiliaca.org.

Annual Subscription Options
Company Name & Contact
 For additional tickets to the Forum, please click the button below and pay the $500 per person additional ticket price.



Additional Tickets (CURRENT member companies)

Attendee name & company name



NEWS & UPDATES

Medi-Cal Rx Secured Portals Outage

March 25, 2024

On March 26, 2024, users will not be able to log in to any of the Medi-Cal Rx Secured Portals during the outage. The outage will begin at 8 p.m. PT on March 26, 2024, and is anticipated to last two hours..

Click Here to see the Medi-Cal Rx System Status page for updates regarding the outage and when prior authorization (PA) request submissions can be resumed. 

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.

Click here to read which 46 STCs will be impacted with implementation of P3/L4 on June 23, 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.

    Medi-Cal Rx Learning Management System Migration

    March 25, 2024

    As a result of Prime Therapeutics’ acquisition of Magellan Rx, a series of transitions for Medi-Cal Rx users is scheduled for the first half of 2024, as previously announced in the alert titled Upcoming Transitions for Medi-Cal Rx Applications. As part of this migration, on Tuesday, March 26, 2024, the current Medi-Cal Rx Learning Management System (LMS) will be replaced with a new application on the Prime Therapeutics platform.

    On March 26, 2024, Medi-Cal Rx’s current LMS, Saba℠, will be deactivated and will be replaced with a new LMS, Cornerstone, on Prime Therapeutics’ system. Users will be able to access the same resources that are currently available in Saba and will continue to use the Medi-Cal Rx Secured Provider Portal to access the LMS.  

    No action is required of users at this time. 

    If you have questions, you can call the Medi-Cal Rx Customer Service Center (CSC) at 1-800-977-2273, which is available 24 hours a day, 7 days a week, 365 days per year. For other questions, email Medi-Cal Rx Education & Outreach at MediCalRxEducationOutreach@primetherapeutics.com.

    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.

    Click here to read more about the upcoming end of the continuous coverage requirement.

    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.

    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, October 2 (HYBRID)
    Thursday, December 5 (online-only)