Enhanced Medical Home For Medi-Cal’s Seniors and Persons with Disabilities (SPD) Population

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Description:
The California Department of Health Care Services (DHCS) seeks to improve the quality and efficiency of care provided to approximately 360,000 fee-for-service Medi-Cal beneficiaries with disabilities and chronic illnesses by creating a new statewide infrastructure of Enhanced Medical Homes (EMH). In this context, the Enhanced Medical Home model is a system of care that provides access to a primary care provider, as well as targeted care management support for beneficiaries at high risk of using acute medical services. With support from the California HealthCare Foundation, the Center for Health Care Strategies, Inc. (CHCS), a national non-profit with expertise in this arena, prepared this policy options paper for the consideration of the Executive and Legislative branches of California government. The paper is based on input from stakeholders across the state, Medicaid officials from best practice states, as well as internal deliberations among state officials. It also benefits from a round of intensive interviews with selected California stakeholders conducted by CHCS in June and July 2009.