{"id":66041,"date":"2024-07-16T08:12:58","date_gmt":"2024-07-16T15:12:58","guid":{"rendered":"https:\/\/lapost.us\/?p=66041"},"modified":"2024-07-16T08:12:58","modified_gmt":"2024-07-16T15:12:58","slug":"how-medi-cal-is-helping-californias-growing-older-and-disabled-adults","status":"publish","type":"post","link":"https:\/\/lapost.us\/?p=66041","title":{"rendered":"How Medi-Cal is Helping California\u2019s Growing Older and Disabled Adults"},"content":{"rendered":"<div class=\"td_block_wrap tdb_single_author tdi_59 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_59\">\n<div class=\"tdb-block-inner td-fix-index\">\n<div class=\"tdb-author-name-wrap\"><span class=\"tdb-author-by\">By<\/span><a class=\"tdb-author-name\" href=\"https:\/\/ethnicmediaservices.org\/author\/selen-ozturk\/\">Selen Ozturk<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_date tdi_60 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_60\">\n<div class=\"tdb-block-inner td-fix-index\"><i class=\"tdb-date-icon tdc-font-fa tdc-font-fa-calendar\"><\/i><time class=\"entry-date updated td-module-date\" datetime=\"2024-07-15T10:31:12-07:00\">Jul 15, 2024<\/time><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_subtitle tdi_61 td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_61\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>For the over six million Californians aged 65 and over, and the over seven and a half million with a disability, getting the care they need has not always been easy.<\/p>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_featured_image tdi_62 tdb-content-horiz-left td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_62\">\n<div class=\"tdb-block-inner td-fix-index\"><img loading=\"lazy\" decoding=\"async\" class=\"entry-thumb\" title=\"older disabled adult\" src=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult.png\" sizes=\"auto, (max-width: 2402px) 100vw, 2402px\" srcset=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult.png 2402w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-300x162.png 300w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-1024x554.png 1024w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-768x416.png 768w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-1536x831.png 1536w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-2048x1108.png 2048w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-150x81.png 150w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-696x377.png 696w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-1068x578.png 1068w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/07\/older-disabled-adult-1920x1039.png 1920w\" alt=\"\" width=\"2402\" height=\"1300\" \/><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_content tdi_63 td-pb-border-top td_block_template_1 td-post-content tagdiv-type\" data-td-block-uid=\"tdi_63\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>For the over six million Californians aged 65 and over, and the over seven and a half million with a disability, getting the care they need has not always been easy.<\/p>\n<p>To help these Californians live healthier lives in their own communities, Medi-Cal \u2014 California\u2019s version of Medicaid \u2014 has new programs including integration with Medicare; elimination of asset limits restricting eligibility; enhanced care management; and expanded community services like housing aid and healthy meals.<\/p>\n<p>At a Wednesday, July 10 Ethnic Media Services briefing, Department of Health Care Services officials and community health care providers explained what new programs are available to older and disabled Californians, how they\u2019re implemented on the ground and how these programs are changing lives.<\/p>\n<h2 class=\"wp-block-heading\">An overview<\/h2>\n<p>Nearly 6 million Californians, or 15% of the state\u2019s population, were aged 65 and older as of 2021 according to the U.S. Census \u2014 a number projected to grow to over 8.7 million, or 20% of the state, by 2030.<\/p>\n<p>The\u00a0<a href=\"https:\/\/www.cdc.gov\/ncbddd\/disabilityandhealth\/impacts\/pdfs\/California_Disability.pdf\">CDC<\/a>\u00a0reports that over 7.6 million Californians have a disability.<\/p>\n<p>Dana Durham, DHCS Managed Care Quality and Monitoring Division chief], said Medi-Cal is helping older and disabled Californians through Community Supports and Enhanced Care Management (ECM), programs that \u201cmeet social drivers of health\u201d \u2014 like housing, healthy food, language access, and preventative health care \u2014 \u201cin people\u2019s communities so they can stay in the least restrictive setting possible.\u201d<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"vdkspXDE2Zg\"><iframe loading=\"lazy\" id=\"widget2\" title=\"Medi-Cal Transforms Care with New Focus on Prevention and Addressing Social Drivers of Health\" src=\"https:\/\/www.youtube.com\/embed\/vdkspXDE2Zg?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Dana Durham, Chief, Managed Care Quality and Monitoring Division, Department of Health Care Services, discusses Medi-Cal\u2019s new approach to care delivery, which includes a focus on prevention and meeting members where they are.<\/em><\/figcaption><\/figure>\n<p>Community Supports include medically tailored meals, transportation to and from appointments, in-home care, home accessibility modifications, long-term care transition assistance, mental health care, substance abuse disorder treatment and housing aid.<\/p>\n<p>\u201cHistorically, the healthcare system has been difficult to navigate,\u201d particularly isolating seniors and people with disabilities, Durham continued.<\/p>\n<p>With ECM, introduced in January 2022, high-risk members or those with complex needs \u2014 for example, overlapping issues of dementia, mental health, and daily living \u2014 are assigned a lead care manager to help them navigate the system and access Medi-Cal services. These care leads can travel to meet the member if need be; for instance, the patient is homeless, disabled or isolated.<\/p>\n<p>For Californians eligible for both Medi-Cal and Medicare, the federal insurance program for seniors and some younger people with disabilities, there are also now dual Medi-Medi Plans in\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/services\/Pages\/Medi-Medi-Outreach.aspxhttps:\/\/www.dhcs.ca.gov\/services\/Pages\/Medi-Medi-Outreach.aspx\">12 counties<\/a>\u00a0that cover copays and services across b\u200both programs, said Anastasia Dodson, DHCS deputy director of the Office of Medicare Innovation and Integration.<\/p>\n<p>In 2026, Medi-Medi will be available statewide.<\/p>\n<p>Currently, of the 6.6 million Californians on Medicare, 1.6 million are also on Medi-Cal.<\/p>\n<p>Dodson added that in January 2024, Medi-Cal eliminated asset limits, meaning that bank accounts, property or a second car won\u2019t affect eligibility; now, only income and household size count.<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"o0jKpYzHcPQ\"><iframe loading=\"lazy\" id=\"widget4\" title=\"Medicare Members Can Also Enroll in Medi-Cal and Receive Additional Benefits\" src=\"https:\/\/www.youtube.com\/embed\/o0jKpYzHcPQ?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Anastasia Dodson, Deputy Director, Office of Medicare Innovation and Integration, Department of Health Care Services, says people who are enrolled in Medicare may also be eligible for Medi-Cal and explains the benefits of enrolling in both plans.<\/em><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\">Community perspectives<\/h2>\n<p>Since this expansion of Medi-Cal began in 2022, \u201cWe went from three counties to nine statewide where we provide ECM and connection to community supports like doctors, caregivers, meals, transportation, residential care away from nursing homes, home accessibility modifications, housing navigation and rent aid,\u201d said Jenna LaPlante, senior director of care management programs at the<a href=\"https:\/\/www.ioaging.org\/\">\u00a0Institute on Aging<\/a>, which serves about 1,000 Medi-Cal members.<\/p>\n<p>\u201cIt\u2019s more than we\u2019ve ever served, and we\u2019re in talks with health plans to expand more,\u201d she continued. \u201cHiring bilingual, bicultural staff from the communities we serve has been key to reaching communities who weren\u2019t historically engaging with our services.\u201d<\/p>\n<p>\u201cFor example, we hired a Vietnamese-speaking care manager who went to community centers in San Jose and Santa Clara counties where there\u2019s a large population. We got a huge influx, and could hire more VIetnamese-speaking staff, which increased referrals even more,\u201d LaPlante explained. \u201cWe\u2019re now doing the same thing in Merced County, posting jobs for Spanish-speaking staff.\u201d<\/p>\n<p>\u201cThis recent expansion to use Medicaid dollars for social determinants of health, like first month\u2019s rent and a security deposit, is incredibly novel. I don\u2019t see it anywhere else,\u201d she added. \u201cEach state can apply to waive how they use federal dollars for more than just medical services. Some do and some don\u2019t \u2026 but here in California, we\u2019re at the forefront.\u201d<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"LcsOtPikSLQ\"><iframe loading=\"lazy\" id=\"widget6\" title=\"Bilingual Staff and Culturally Competent Care Help Medi-Cal Reach Underserved Communities\" src=\"https:\/\/www.youtube.com\/embed\/LcsOtPikSLQ?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Jenna LaPlante, Senior Director of Care Management Programs, Institute on Aging, shares the success Medi-Cal has had in reaching underserved communities following efforts to recruit bilingual staff.<\/em><\/figcaption><\/figure>\n<p>With older and disabled Californians, health risks often overlap across many areas of life, not just physical health concerns \u2014 for instance, if \u201cthey\u2019re homeless with no income, no food, and they need a wheelchair,\u201d said Carrie Madden, program director of Aging and Disability Resource Connection of Central and South LA (ADRC), a social service counseling and referral organization.<\/p>\n<p>\u201cWhat\u2019s really been helpful is being able to coordinate and refer them to services that address these different areas,\u201d she continued. \u201cWe have no wrong door. People who call us will get some kind of referral \u2026 and we follow up to make sure they get the services they need to live out of nursing homes and treatment facilities, back in the community they came from \u2026 With the Medi-Cal change now, we\u2019re seeing individuals get this help much faster.\u201d<\/p>\n<p>ADRC is partnered with\u00a0<a href=\"https:\/\/calif-ilc.org\/\">Communities Actively Living Independent and Free<\/a>\u00a0(CALIF), one of 28 independent living centers in California.<\/p>\n<p>Keith Miller, executive director of CALIF, said \u201cRecently we entered a contract with an insurance provider to provide these new Medi-Cal programs like housing navigation or retention, assistive technology and ongoing case management,\u201d particularly for people frequently entering emergency rooms.\u201d<\/p>\n<p>At CALIF, where \u201c51% of our staff are people with disabilities,\u201d this transformation of Medi-Cal crucially helped \u201ckeep our clients out of institutions and nursing homes,\u201d he added.<\/p>\n<p>Lilly Sanchez, case manager at CALIF, shared the story of how this transformation changed the life of one high-risk client who was often in the ER and about to enter a nursing home before he was referred to CALIF, which helped him enroll in Medi-Cal and stay in his community over the course of three months.<\/p>\n<p>\u201cWhen he came to us, he didn\u2019t have in-home support, no California ID, couldn\u2019t transport himself to and from the services he needed,\u201d she explained. \u201cWe were able to do the paperwork for him and coordinate our social services with medical care through the insurance plan.\u201d<\/p>\n<p>\u201cBecause of that coordination of care, he is currently housed, he has in-home support, he has food nurtures him to stop needing the emergency room as much as he was before,\u201d Sanchez continued.<\/p>\n<p>\u201cThis speaks to how important it is not only to have medical care available but to coordinate it with all the other social services people need to be healthy,\u201d she added. \u201cMedi-Cal is making that coordination possible.\u201d<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>BySelen Ozturk Jul 15, 2024 For&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,16],"tags":[],"class_list":["post-66041","post","type-post","status-publish","format-standard","hentry","category-ca-local","category-health"],"_links":{"self":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/66041","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=66041"}],"version-history":[{"count":1,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/66041\/revisions"}],"predecessor-version":[{"id":66042,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/66041\/revisions\/66042"}],"wp:attachment":[{"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=66041"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=66041"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=66041"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}