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CalAIM Office Hours: Enhanced Care Management (ECM) and Community Supports Member Engagement - Shared screen with speaker view
Carmela L - Manatt Events
33:33
Link for both English and Spanish captioning: https://www.streamtext.net/player?event=DHCS
Cynthia Perez
35:01
So much echo. open mics
Allen Noriega
36:45
Are the county offices involved or connected with the ambassadors?
Nancy Wongvipat Kalev
39:18
Link to become a DHCS coverage ambassador: https://www.dhcs.ca.gov/toolkits/Pages/PHE-Outreach-Toolkit.aspx
Dana Durham
39:36
County offices are spreading the message about enrollment and working to ensure beneficiary addresses are correct. They are involved in preparing and reviewing the toolkits as well as active in the communication messages to the ambassadors. However, the county offices are not directly connected to ambassadors.
Mary Leste
42:40
Do Ambassadors get paid?
Dana Durham
46:10
The motivation for Ambassadors is knowing that their work assists individuals in maintaining coverage. There is no additional compensation.
Susan LaPadula
46:40
Can Medi-Cal members self refer for all MCPs in all counties statewide ?Thank you kindly
Allen Noriega
49:16
Is there an administrative purpose for the disconnect or is there discussion regarding improving the connection? I ask because of the bureaucratic delay and confusion that beneficiaries face once the application is submitted.
Gabriela Martinez
52:54
Some members are assigned to one ECM provider but the member has already established care with another ECM provider. How have the plans considered this factor when assigning the member to an ECM provider without interrupting the continuity of care of the member?
Katy Weber
53:16
I had a question around the ECM populations of focus “Nursing Facility Residents Transitioning to the community”. Are you referring to custodial patients in a nursing facility or are you also including skilled patients including those going through rehab in a nursing facility residents as part of this ECM population of focus?
Crystal Rocha Torres
54:45
How would one go about coordinating an enrollment/referral outreach education session for an acute hospital care coordination department?
Sydney Turner
55:30
@ Gabriela, Great question! Health Net allows members to switch ECM providers at any time - they just need to give us a call! Then we will make the old and new ECM provider aware to ensure continuity of care occurs.
Claudia Gallard
55:44
Can you share the referral form that has been created?
jessica cervin
56:58
love the form! Regina Schanning from SNAHC
Melissa Wanyo
57:35
Great to hear you find the referral form useful, thank you for your comments!
jessica cervin
57:58
very useful thank you!
Carley Clemons
59:08
Referral Form- https://www.lacare.org/sites/default/files/pl1196-1198_la_mcp_ecm_referral_form_202112.pdf
Melissa Wanyo
01:01:17
@ Gabriela, thanks for your question. At L.A Care, we also allow a member to switch ECM providers - if a member requests a provider change, we authorize their "member choice". If an ECM provider is requesting to serve a member, who is already enrolled with another ECM contracted provider, we outreach to the member for "member choice" and assign based on their preference.
Claudia Gallard
01:02:00
Thank you Carley
Mike Odeh
01:15:54
any lessons learned so far on ECM for families with children?
Debbie Harder
01:17:47
Community Supports questions - specifically on Post Short Term Hospitalization, if a member ends up going to the hospital, how long can we continue to hold a hotel room with their belongings and bill for Post Short Term Hospitalization?
Christina Ciliberto
01:22:20
Of note, some MCPs include Outreach costs/pricing within the enrolled contracted rate. And therefore due not pay separately for Outreach for each Member.
Allen Noriega
01:23:28
Is there any consideration or discussion of county social service offices participating in or collaborating with ECM?
Amira Lindbloom
01:25:28
We have just started providing ECM services and I would love to connect with other ECM providers who may have more experience. Is there any platform for this?
Donna Carey
01:31:52
This was helpful - thank you!
Migdalia
01:33:06
Will you be able to provide us with a copy of the PPT?
jessica cervin
01:36:46
regina from snahc great presentaton