Orange County Whole Person Care Pilot Proposal Summary
Orange County Health Care Agency's Liz Amantine-Taylor presents the Medi-Cal 2020 waivers that include the Whole Person Care program. This program focuses on enhancing care quality, access, and efficiency by coordinating health, behavioral health, and social services for vulnerable Medi-Cal beneficiaries. The pilot aims to reduce ER/inpatient utilization, meet real-time needs, enhance housing placement, and targets homeless individuals living with serious mental illness. WPC services include an ER notification system, community referrals, care coordination, and more.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
ORANGE COUNTY ORANGE COUNTY WHOLE PERSON CARE (WPC) WHOLE PERSON CARE (WPC) PILOT PROPOSAL PILOT PROPOSAL Liz Amantine-Taylor Strategic Projects Administrator Orange County Health Care Agency
Medi Medi- -Cal 2020 Cal 2020 Medi-Cal waivers are programs under Medi-Cal that provide additional services to specific groups of individuals, limit services to specific geographic areas of the state, and / or provide medical coverage to individuals who may not otherwise be eligible under Medicaid rules Medi-Cal 2020, the current wavier which in effect January 2016 through December 2020, focuses on the way Medi-Cal provides services to improve the quality of care, access and efficiency One of the programs in Medi-Cal 2020 is Whole Person Care
Whole Person Care Whole Person Care WPC Pilot Program is the coordination of health, behavioral health, and social services, as applicable, in a patient-centered manner with the goals of improved beneficiary health and wellbeing through more efficient and effective use of resources The WPC Pilot is primarily for infrastructure development and data sharing, as well as other costs not currently covered by Medi-Cal The WPC Pilot focuses on those more vulnerable populations of Medi-Cal beneficiaries that have high instances of emergency room and inpatient utilization
TARGET POPULATIONS TARGET POPULATIONS Persons who are Homeless Persons who are Homeless & Living with Serious Mental Illness
OBJECTIVES OBJECTIVES Reduce inappropriate or unnecessary ER/Inpatient Utilization Meet needs in real-time social, medical, and emotional Increase readiness for Coordinated Entry Process Improve/Increase success in housing placement
WPC SERVICES TO ALL WPC SERVICES TO ALL POPULATIONS POPULATIONS Emergency Room Notification System Community Based Organization Referral System Recuperative/Respite Care Hospital and Clinic Based Care Navigation/Coordination Managed Care Personal Services Coordinator (CalOptima)
ADDITIONAL WPC SERVICES ADDITIONAL WPC SERVICES TO THE HOMELESS AND SMI TO THE HOMELESS AND SMI POPULATIONS POPULATIONS Dedicated resource(s) to seek out and secure housing opportunities Housing sustainability services, including peer support
PARTNERS PARTNERS CalOptima Health Care Agency s Behavioral Health Services Orange County Community Resources (Housing) 2-1-1 Orange County Illumination Foundation Safety Net Connect Community Clinics: Share Our Selves, Lestonnac, Buena Park, Hurtt Family Medical, Serve the People, & Korean Community Services Hospitals: St Jude, St. Joseph, Hoag, Mission, UCI, Saddleback Memorial, and Orange Coast Memorial
WPC Expansion Opportunity WPC Expansion Opportunity $300 million per year available of which Orange County received $4.7 million per year After funding all applicants in the initial round, $61 million remained Orange County submitted an application for an additional $2.1 million per year Expect to be notified by July 2017, if additional funds are approved
WPC Expansion Overview WPC Expansion Overview Incorporates the outreach, engagement, and supportive services provided in the drop-in and multi-service centers into the WPC. (Courtyard and Kramer sites) Expands the number of Recuperative Care Bed days from 12,612 to 27,320 over the term of the WPC Pilot. Dedicates Recuperative Care Bed resources to clients identified in the Courtyard as having a high medical acuity Funds four additional community clinics to add homeless outreach and coordination services (Livingstone, Families Together, North Orange County Regional and VNCOC) Funds the administrative resources needed to implement, monitor and report on expanded WPC activities
QUESTIONS QUESTIONS ?????? ??????
