The Department of Health Care Services (DHCS) is seeking input on a plan – the plan is to have Medi-Cal Managed Care take on the responsibility of serving children who are now served by California Children’s Services. (Download the plan
There are many groups around the state that have concerns and would like DHCS to PLEASE Extend the CCS Carve Out until there is data to show that CA Medi-Cal Managed Care Plans are ready and that DHCS is ready to monitor them. Children with special health care needs must continue to have protections and access to specialty care so they come to no harm.
What we understand from available data:
DHCS has not evaluated pilots, DHCS is not prepared to monitor and CA Medi-Cal Managed Care Plans are NOT ready to provide access that our children may need:
- DHCS has not evaluated Managed Care CCS pilots and reported to the Legislature. (One pilot has launched and a second is expected to launch this year.) Without an evaluation, there is no way to know the impact of pilots on access to care, family and provider satisfaction, and cost effectiveness. http://www.leginfo.ca.gov/pub/11-12/bill/asm/ab_0301-0350/ab_301_bill_20111004_chaptered.html
- DHCS is not prepared to monitor Medi-Cal Managed Care. In a recent audit entitled: California Department of Health Care Services: Improved Monitoring of Medi-Cal Managed Care Health Plans is Necessary to Better Ensure Access to Care. https://www.auditor.ca.gov/reports/summary/2014-134. The State’s auditor found, among other things:
- The Department of Health Care Services did not ensure that health plans had adequate provider networks to serve beneficiaries
- Thousands of calls from Medi-Cal beneficiaries to the Department’s Ombudsman have gone unanswered
On the other hand, a 2014 survey by the UCSF Family Health Outcomes Project as part of the Title V Needs Assessment, shows that families had a very high rate of satisfaction with CCS programs and services – 86% of families expressed satisfaction with the program and its services.
(Download the Title V Needs Assessment
, Page 21, 2nd paragraph.)
If you care about the services CCS provides your child, here are 4 things you can do to have your voice heard:
- Send Comments to the DHCS – COMMENTS DUE Friday, July 3rd - Please send a copy to firstname.lastname@example.org
- Please feel free to use language from above. You can submit your comments by email to the Department at this address: CCSRedesign@dhcs.ca.gov
- Copy your comments to your legislator. You can find your legislator here: http://findyourrep.legislature.ca.gov/ . Also please copy the Chairs of the Senate and Assembly Health Committees at email@example.com and firstname.lastname@example.org
- Attend the July 8th AB187 Senate Health Committee hearing at 1:30 regarding Extending CCS carve out for one more year. (The hearing will be at the State Capitol in Room 4203.)
- Send us your Family Stories NOW and let us know if you plan to come to the July 8th AB187 hearing. Please send to email@example.com
- If you have had experienced a problem or have been denied services we would be interested in hearing your story.
- If you have experience where CCS has worked well: How has CCS assisted your family to access medical care/specialty care centers services that your child would not have had access to without CCS?
THANK YOU FOR MAKING YOUR VOICE AND CONCERNS HEARD