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In Their Own Words: How Fragmented Care Harms People with Both Mental Illness and Substance Use Disorder

For the 8.9 million American adults — about 500,000 Californians — with a dual diagnosis of mental illness and substance use disorder, it can be difficult to receive fully coordinated and effective care. For people with low incomes, the barriers can be even higher and lead to unnecessary suffering and poor health outcomes. To better understand how Californians with dual diagnoses experience treatment, CHCF commissioned interviews with 54 people insured through Medi-Cal who have both mental illness and substance use disorder (SUD), as well as additional interviews with the family ...

New Data Reports on ACEs Aware Training and Screening

New data reports are now available that detail the number of Adverse Childhood Experience (ACE) screenings conducted in California between January 1 and June 30, 2020, and the number of providers who have completed the “Becoming ACEs Aware in California” core online training. Since launching the ACEs Aware initiative in December 2019, more than 15,500 providers have taken the training. About 9,100 Medi-Cal providers in California have attested to completing the training and are receiving Medi-Cal payment for conducting qualified ACE screenings. Medi-Cal providers – primarily pediatric, family medicine, and internal medicine physicians – have conducted over 155,000 ...

Medi-Cal Update

Several physicians report receipt of a notice from the California Department of Health Care Services (DHCS) regarding the decommissioning of their point of service (POS) device and request for its immediate return. This is another demonstration of DHCS’ desire to move claims processing, eligibility and the majority of interactions to be electronic-based.   The Medi-Cal POS device is supplied to physician practices to verify recipient eligibility and clear share of cost liability. Per the notice, identified physicians have 30 days to return the device to DHCS from the date of ...

Medi-Cal postponing deactivation of inactive providers

Earlier this month, the Department of Health Care Services (DHCS) notified approximately 30,000 Medi-Cal providers that they were being "deactivated" because they had not submitted a claim or rendered services reported on a Medi-Cal claim in the last 12 months. The notices indicated that the deactivation date would be July 22, 2017. DHCS has, however, decided to not to proceed with the planned deactivation. DHCS will instead be reconsidering what is defined as "inactivity" after the department was made aware that such deactivation would be problematic for some providers—particularly those ...