CHA News Article

DHCS Releases Final Application for Whole Person Care Pilot Program
Announces CMS approval of WPC program protocol

Yesterday, the California Department of Health Care Services (DHCS) released the final application and selection criteria for the Whole Person Care (WPC) pilot program. WPC applications are due from the lead entities on July 1. DHCS will hold a webinar on May 19 from 11:30 a.m.-1 p.m. to describe the application and selection criteria. Registration is available online.

The WPC pilots — approved under California’s section 1115(a) demonstration waiver, titled “California’s Medi-Cal 2020 Demonstration” — are county-based and aim to provide coordinated care for vulnerable, high-utilizing Medicaid members. Their overarching goal is to integrate physical health, behavioral health and social services systems, and they seek to improve beneficiary health and well-being through more efficient and effective use of resources. WPC pilots may also choose to expand access to supportive housing options for these high-risk populations. The waiver renewal authorizes up to $1.5 billion in federal funding over the five–year program; WPC pilot lead entities will provide the non-federal share.

In addition, DHCS has announced that last week the Centers for Medicare & Medicaid Services (CMS) approved its WPC pilot program protocol, which is based on the Medi-Cal 2020 waiver’s special terms and conditions, and includes:

  • WPC Reporting and Evaluation (Attachment GG): Mid-year and annual reporting requirements and evaluation process
  • WPC Pilot Requirements and Application Process (Attachment HH): Application submission and review process, pilot funding, termination process and WPC Learning Collaboratives
  • WPC Pilot Requirements and Metrics (Attachment MM): Performance metrics (universal and variant), incorporation of Plan-Do-Study-Act (PDSA) and reporting requirements

More information about the WPC pilot program is available at www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx.

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