Understanding Drug Medi-Cal For FQHC's

DATES: Part 1- Wednesday April 20th, 2022, Part 2- Wednesday April 27th, 2022 
TIME: 11:00am-12:30pm (both dates)

Drug Medi-Cal (DMC) is a funding source for the treatment of a range of substance use disorders. DMC services to Medi-Cal beneficiaries must be provided at a certified program. Community Health Centers, like FQHCs, may become certified DMC programs. But the costs, benefits, and process of certification is a mystery to most. This two part webinar series seeks to demystify the Drug Medi-Cal program so health centers may better understand the programmatic, financial, regulatory, compliance and enrollment implications. 

DMC 101 (Part 1): Understanding Programmatic and Financial Implications of DMC for FQHC’s
Date: April 20, 2022 from 11 a.m.  – 12:30 p.m.
Presenters: CommuniCare Health Centers
Audience: We highly recommend health centers view this webinar series as a team. The intended audience include fiscal, behavioral health, and operational leadership (e.g. CFO, CBHO, COO).

DMC 101 (Part 2): Regulatory, Compliance, and Enrollment Considerations for DMC
Date: April 27, 2022 11 a.m. – 12:30 p.m.
Presenters: CIBHS
Audience: Behavioral Health leadership and clinical supervisors, Operational leadership, Compliance Officers

LEARNING OBJECTIVES

DMC 101 (Part 1): Understanding Programmatic and Financial Implications of DMC for FQHC’s

1. Understand the value of complimenting FQHC scope with DMC scope.
2. Understand the DMC program and how it differs from an FQHC programmatically and financially; including considerations for establishing the separation between DMC and PPS reimbursement streams.
3. Review the proposed reimbursement mechanism for Drug Medi-Cal services under CalAIM and how it differs from PPS. 
4. Outline the benefits and costs of being a dual DMC/FQHC provider based on real-world experience, including the potential effects of new Drug Medi-Cal contracts on PPS reimbursement.
5. Provide a sample of the infrastructure necessary to operate a DMC program (including staff, physical space, EHR, and other overhead). 

DMC 101 (Part 2): Regulatory, Compliance, and Enrollment Considerations for DMC

1. Describe how the DMC program is authorized (e.g. 1115 waiver and Title 22);
2. Describe DMC scope of services for outpatient care (in particular, how does MAT fit).
3. Outline the health plan and providers’ responsibilities in service delivery and compliance.
4. Outline when/how the DMC program is reviewed and audited.
5. Provide a high level overview of enrollment process. 
6. What to expect with CalAIM BH Documentation reform.

SPEAKERS

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Disclaimer: The information in this session is intended only to provide a general overview of the topics addressed. This session is not intended to provide legal advice nor substitute for the guidance, counsel, or advice of legal counsel on any matters particular to a specific primary care clinic. CPCA does not endorse companies or products. Advertising and sponsorship revenue support our not-for-profit mission and sponsors will receive your email address, in exchange for your complimentary registration.