CHA News Article

CHA Comments on CHBE Clinic and Grant Options

The California Health Benefit Exchange (CHBE) Board met June 12 to discuss revised recommendations for developing a statewide assisters program to help enroll millions of Californians in 2014 into Medi-Cal or a health care coverage product sold through CHBE. Previous options excluded all provider groups from receiving compensation for enrollment activities. At the meeting, the CHBE Board reviewed a new option that would allow community clinics to be eligible for paid enrollment. CHBE also discussed creating a $15 million grant to support enrollment program start-up costs, and other outreach and educational activities. In a comment letter to CHBE, CHA supported grant funding for eligible hospitals to develop or strengthen their enrollment programs. CHA encouraged CHBE to formulate a common approach, as it relates to eligibility and enrollment options, for the various types of clinics in California, and to ensure patients are not disadvantaged due to a delineation based on form rather than function. CHA’s comment letter and related information are below.


California’s Clinic World

A clinic is a health care delivery setting primarily engaged in providing outpatient health care furnishing diagnostic and therapeutic services. This includes medical history, physical examination, assessment of health status and treatment for a variety of medical, dental or behavioral health conditions. Care provided in this setting is often referred to as “primary care.”