COVID-19 and Medi-Cal: Guidance from Enrollment to Payment Webinar

Program originally recorded on July 1, 2020.

Recording

Overview

Access to care has never been more essential — especially for COVID-19 patients. That’s why the Department of Health Care Services (DHCS) requested federal approval to provide greater flexibility to providers with Medi-Cal enrollment and payment for services during the COVID-19 crisis.

Join us to hear DHCS executive leadership explain the expanded pathways to enroll COVID-19 patients into the Medi-Cal program and describe the reimbursement process for hospitals.  

Who should participate
Chief Financial Officers, Directors of Managed Care, Patient Financial Services, Admissions

Agenda

Two pathways for COVID-19 coverage

• Current Medi-Cal patients
• Hospital Presumptive Eligibility (HPE) Program

Applicable coverage and benefits

Step-by-step overview of the application process

• New flexibilities through the HPE program

Claims review and reimbursement process

• What’s eligible for reimbursement, what’s not
• Common missteps and how to avoid them
• Tips to ensure reimbursement

Unique challenges

• Repatriation — when patients are transferred across county lines and farther
• Hospitals’ responsibilities — sending, receiving

Materials

Download Presentation

Faculty

René Mollow, MSN, RN
Deputy Director, Health Care Benefits and Eligibility
California Department of Health Care Services
René Mollow has been with the California Department of Health Care Services (DHCS) since 1995, working primarily with Medi-Cal, California’s version of Medicaid.  She is currently serving as the Deputy Director for Health Care Benefits and Eligibility (HCBE).  Ms. Mollow is responsible for the planning, development, promotion, implementation, and evaluation of health care services and delivery systems under Medi-Cal. HCBE is comprised of five divisions and one office: Benefits, Eligibility, Pharmacy Benefits, Primary and Rural Health, Medi-Cal Dental Services and the Office of Family Planning.  Ms. Mollow directs and coordinates programs and activities in HCBE to ensure uniform program direction and maximum efficiency throughout the statewide health care delivery system. In addition, she assists the Directorate and State Legislatures in determining program direction consistent with legislative intent and consults with the Director concerning issues of significant policy impact.