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DHCS on Managed Care Regulations - NorCal
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DHCS will discuss the implementation of Managed Care Regulations from 10 am to 3 pm with a break for lunch. Registration is free to CCCBHA members. Coffee and tea will be provided. Lunch will be on your own.

When: July 17, 2017
10 am
Where: Seneca Family of Agencies, Multipurpose Room
6925 Chabot Road
Oakland, California  94618
United States
Contact: Sara Kahoalii

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Presentation Summary:

On May 6, 2016, the Centers for Medicare and Medicaid Services (CMS) issued Final Rule CMS-2390-P which primarily amends and expands the requirements of Title 42, Code of Federal Regulations, Part 438, pertaining to Medicaid Managed Care (MMC). CMS’ intent was to modernize the MMC regulatory structure to facilitate and support delivery system reform initiatives resulting in improved health outcomes and improved beneficiary experience, while effectively managing costs. One of CMS’ primary goals with the revised rule is to align MMC with other federal health care programs.

California’s Medi-Cal Specialty Mental Health Services (SMHS) program is unique in its design and delivery system; as such, the effort it will take to achieve CMS’ new requirements will have a significant impact on the Department of Health Care Services (DHCS), the 56 county Mental Health Plans (MHPs), SMHS providers, and the overall SMHS delivery system.

During the presentation, participants will learn about critical changes in federal requirements that will affect local operations at the provider level. DHCS will present an overview of the Final Rule and highlight the provisions, which will have the most significant impact to the SMHS program. 

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