Law and Ethics - Updates and Resources for Medi-Cal Providers

"Updates and Resources for Medi-Cal Providers"
Presenter:  Sara Jasper, JD, CAMFT Staff Attorney

Webinar Description:

California’s Medi-Cal system is complex and ever-changing. During this three-hour presentation, CAMFT Staff Attorney, Sara Jasper, will provide an overview of the Medi-Cal Behavioral Health system, including information about CalAIM and BH-Connect. Ms. Jasper will review Medi-Cal’s requirements for telehealth services, provider addresses and how providers who offer “remote-only” services can apply for an exemption from Medi-Cal’s place of business requirements. Ms. Jasper will offer practice tips and resources Medi-Cal providers may use to strengthen their recordkeeping practices in anticipation of audits. Finally, Ms. Jasper will offer general resources to support providers as they navigate the Medi-Cal system, including resources for those providing care to dual eligible patients and caregivers.

Educational Goals:

Participants will review the pathways to behavioral health care services within the Medi-Cal system. Participants will learn about the laws and policies that pertain to their work within the Medi-Cal system. As a result of the workshop, participants will be able to identify the requirements for rendering telehealth services and recordkeeping. The tips and resources provided will prepare and assist Medi-Cal providers with responding to audit requests. Providers will also be empowered by receiving resources they can use when addressing more complex issues such as billing for services rendered to dual eligibles or caregivers.

Learning Objectives:

• Identify the pathways to behavioral health care services within the Medi-Cal system.
• Identify possible opportunities for behavioral health care providers as a result of BH-Connect.
• Describe Medi-Cal’s requirements for the delivery of telehealth services.
• Review Medi-Cal Provider address rules and the telehealth or “remote-only” place of business exemption.
• Discuss Medi-Cal’s documentation requirements to audits.
• Identify critical resources for providers working within Medi-Cal’s behavioral health system.