Latest California Healthline Stories
Mental Health Services Heading to DHCS
Integration of care is one of the touchstones of the health care reform conversation. It’s a big and complicated task, though, to integrate health care for the 7.5 million Californians on Medi-Cal.
The state is taking a big step toward that goal by shifting Medi-Cal mental health benefits away from the Department of Mental Health and into the Department of Health Care Services by July 1 of next year. The idea is to incorporate mental health care and substance abuse treatment into people’s overall health care, so that it’s not a segmented benefit.
The tricky part is the transition, because you don’t want a disruption in care while you’re changing that organizational structure, according to Toby Douglas, director of DHCS.
Advocates, Business Groups Raising Concerns About State’s New Autism Coverage Mandate
Nicole Evans of the California Association of Health Plans, Henry Loubet of the insurance brokerage firm Keenan and Lorri Unumb of Autism Speaks spoke with California Healthline about the benefits and shortcomings of a new state law requiring private insurers to cover certain autism therapies.
Two Faces of Mental Health Treatment in California
County and community mental health care providers are optimistic about a major overhaul of California’s mental health services that includes plans for a new state agency and a realignment of management and funding.
Dual Eligibles a Tricky Population To Manage
The state Department of Health Care Services wants to integrate care for about 1.1 million dual eligibles in California — people eligible for both Medicare and Medi-Cal services — by moving them to managed care plans.
“These two insurance programs don’t necessarily work well together,” according to Neal Adams, deputy director of the California Institute for Mental Health. “The benefit design is not equal across all platforms.”
Adams was part of a stakeholder summit convened last week by DHCS to discuss the dual eligible demonstration project. It was the first of three stakeholder meetings this month. Others are scheduled Dec. 12 in San Francisco and Dec. 15 in Los Angeles.
Mental Health Needs High, Treatment Low
About two million Californians are under stress and need some kind of mental health care — and are not getting the help they need, according to a UCLA study released yesterday.
“There are a lot of people with mental health needs, and they aren’t getting adequate care,” UCLA researcher David Grant said. “Men are less likely to seek and receive the care they need, and immigrants definitely aren’t getting their care needs met. And even native-born Latinos and Asians are unlikely to seek treatment, so that’s a definite target for the state to consider.”
The report from the UCLA Center for Health Policy Research is based on 2007 data from the California Health Interview Survey.
For Mentally Ill, Home Is Where the Health Home Pilot Is
Which grant was buried in the week’s news? Rhode Island won a big award for its health insurance exchange efforts, but a second CMS announcement — that the Ocean State was approved for a Health Home Medicaid project — could have major implications for mental health care.
Ruling Raises Questions for Mental Health Coverage
An appellate court ruling in favor of a Blue Shield of California policyholder with anorexia could change how health insurers cover mental illness. However, health plans and advocates are divided on the ruling’s effects.
Advocates: Skimping on Mental Health Funding Has Consequences
Mental health experts say two disparate decisions last week — the Supreme Court ordering California to reduce its prison population and the state Legislature’s decision to improve security at state mental hospitals — are related to a larger, longstanding problem of chronic underfunding for mental health care in California.
Careful Steps in Dismantling Mental Health Agency
It’s a big move, eliminating an entire department of important state services.
Over and over yesterday, in two separate health and human services budget subcommittee hearings, officials insisted that eliminating the California Department of Mental Health was not a diminishment of services, but rather a reorganization.
“There are ways we can create better efficiencies, better ways of integrating behavioral and physical health,” Toby Douglas of the Department of Health Care Services said. “It will happen gradually, it will happen over the next year. We want to work with the Department of Mental Health, to make mental health an essential component of health care delivery.”
Intermediate Care Facilities Catch a Break
A U.S. District Court judge this week issued a ruling that temporarily prohibits California from freezing Medi-Cal reimbursement rates for intermediate care facilities that care for residents with developmental disabilities. Medi-Cal is California’s Medicaid program.
A permanent ruling is expected soon, possibly by the end of the week. However, even the temporary stay is a big victory for developmental services providers and their patients, according to Deborah Pacyna of the California Association of Health Facilities.
“These providers are required to provide quality care 24 hours a day, and yet they’re having to pay out of their own pockets to do that, to the point of possibly closing,” Pacyna said, adding, “They’re paying for patient assessments, staffing, fuel, food, in spite of being faced with this rate freeze, so we hope the judge recognizes this financial hardship.”