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Provider Webinar Information and Training Materials

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Public Programs California Children's Services (CCS) Overview and Care Coordination Training

Overview of the CCS program requirements, information on how to refer eligible members, the CCS referral process, examples of CCS-eligible conditions, and services and benefits of coordination.

Review Information to ensure providers can assist in identifying CCS eligible members and support the provider coordination process.

Provide CCS related contact information, references and pertinent resources to support providers.


CMS-HCC Risk Adjustment Provider Education - 2023 ICD-10 Updates

About the webinar

Your patients make us who we are. Join us for a discussion focused on hierarchical condition category (HCC) risk adjustment. We'll discuss documentation strategies, telehealth, and why your role in risk adjustment is crucial to the health of our members.

This webinar will examine:

  1. Risk Adjustment Overview. Explore the statistical methodology used to compare health risk.
  2. Coding & Documentation Best Practices. Increase your ability to provide a clear, concise, and complete description of the patient's condition and visit details.
  3. The Role of Providers.
  4. 2023 ICD-10-CM Updates. Grow familiar with new guidelines and revisions for 2023.
  5. Telehealth for Risk Adjustment. Find out which services are acceptable for risk adjustment. Master key terms and how to properly document telehealth encounters.


Partnership with Skilled Nursing Facilities

About the webinar

To further CalAIM's goals to standardize and reduce complexity across the state and reduce county-to-county differences, the Department of Health Care Services (DHCS) is implementing Benefit Standardization across managed care plans statewide. Benefit Standardization will help ensure consistency in what benefits are delivered by managed care statewide.

Topics that will be covered:

  • Overview
  • About Health Net
  • LTC Carve-In
  • Long Term Care Claims Submission and Payment
  • Prior Authorizations and Admissions for Long Term Care
  • Transportation services


The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey, a Patient Experience Survey

About the Webinar

  • Patients' interactions with their providers and provider office staff directly impact the patients' health care experience and their perception of quality care.
  • The CAHPS® survey is an annual health care experience survey required by the Centers by Medicare & Medicaid Services (CMS) and for the National Committee for Quality Assurance (NCQA) accreditation.
  • CAHPS and patient experience are becoming increasingly important in health care. Prepare now by learning how to improve the care experience for all of your patients.

Topics that will be covered:

  • Introduction to CAHPS®
  • CAHPS® Timeline
  • Provider-Influenced
  • Measures
  • CAHPS® Questions
  • Recommendations and Best Practices


Improving Timely Follow-Up Care After an Emergency Department Visit for Mental Illness or Substance Use

Learning Objectives:

  • Describe the importance of timely follow-up care for individuals that have had an emergency department visit for mental illness or substance use diagnoses.
  • Identify different ways follow-up care can be administered to support the individual's treatment plan.
  • Administer the appropriate standardized screening tools to screen for mental health conditions and substance use disorders.

Topics that will be covered:

  • Introduction to HEDIS® measures Follow-Up After Emergency Department Visit for Mental Illness (FUM) and Follow-Up After Emergency Department Visit for Substance Use (FUA)
  • Services that support FUM and FUA compliance
  • Recommendations and best practices


Advancing Outpatient Antibiotic Stewardship

This webinar instructs clinicians on how to improve antibiotic prescribing to prevent harmful side effects and antibiotic resistance.

Speakers from the Centers for Disease Control and Prevention(CDC) and the Los Angeles County Department of Public Health will provide updates on:

  • Antibiotic stewardship
  • Best practices in antibiotic prescribing
  • How to discuss antibiotics with your patients
  • How the COVID-19 pandemic has affected antibiotic prescribing.


Provider Webinar: Medi-Cal Rx Prior Authorization Reinstatement

Watch this webinar to learn about Medi-Cal Rx reinstatement of prior authorization for several drug classes. No registration is needed. View a prerecorded webinar if you can’t attend the live version.

Pre-recorded webinar – On-demand (duration: 13 minutes)

For more information about the reinstatement, visit the Provider Library to access provider updates 22-707m (Health Net) and 22-708m (CalViva Health), Find Out What Changed: Reinstatement of Prior Authorizations for Several Drug Classes Under Medi-Cal Rx, distributed on August 31, 2022.

Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey

Webinar date: October 26, 2022 (PDF)


Facility Site and Medical Record Review Training

California Collaborative Site Review Training workgroup is comprised of 22 Medi-Cal plans in California that have come together to create one comprehensive training to educate Our Primary Care Network providers. This training has been mandated by the Department of Health Care Services (DHCS) as directed through All Plan Letter (APL) 20-006. the updated standards to take affect as soon as the Public Health Emergency defined by Governor Newsom has been lifted for California. These revised Tools and Standards are in response to the growing number of Preventative measures set forth from a multitude of organizations such as the CDC, USPSTF, OSHA, AAP to name a few. 

These trainings comprise of a Facility portion and a Medical Records portion. Our goal is to update these training videos as our industry changes. DHCS has made it their mission to revise these tools about every 2 years to aid in the health of California’s Medi-Cal recipients and provide the highest quality of service.


HEDIS Improvement Program (HIP)

HIP recognizes and rewards open-panel and participating PCPs and clinics for their improvement in quality outcomes. The improvement measures are derived from the Managed Care Accountability Set (MCAS) from the Department of Health Care Services (DHCS).


eConsult Services

This webinar shares the quick and convenient ways that PCPs use eConsults, a no-cost specialty care resource that Health Net, California Health & Wellness and CalViva offer to providers serving Medi-Cal and Commercial members. Learn about eConsults, which are digital dialogues between PCPs and CA-licensed specialists to provide rapid support to the PCP. Our eConsult Provider, ConferMED, uses native referral workflows and has a network of 30+ adult and pediatric specialties available to share expertise to enhance member care.


Advancing Equity: Health Care Barriers for Gender-Diverse Populations

Who should attend webinar?

All providers and their staff


Webinar topics

  • Legal background: A brief overview and understanding of LGBTQ+ rights and protections that will help frame the health care barriers faced by the LGBTQ+ community.
  • Health disparities: The learning objective is to provide an overview of barriers to accessing adequate and competent health care for the LGBTQ+ community and the subsequent health disparities that manifest, from the perspective of a local medical professional that actively serves the LGBTQ+ community.
  • Lived experiences: A leader in the San Diego LGBTQ+ community will share valuable stories from her experiences working with the LGBTQ+ community and provide examples to help understand how to spot discrimination, both implicit and explicit, that may manifest in a transgender person's daily life.




Learn About the Transition to Medi-Cal Rx

Who should view the webinar

All Medi-Cal providers and their staff.

About the webinar

The Medi-Cal Rx 101 webinar reviews the transition, provider portal information, prior authorizations, the contract drug list and more. Magellan hosted the webinars.

For questions about this webinar, please email: provider_services@healthnet.com


One Provider Portal for All Your Needs!

When we're making the change and why

We are migrating post-login content from provider.healthnet.com to provider.healthnetcalifornia.com. You now have access to one secure post-login platform with easy-to-use tools to manage the health of your patients. This change also enables us to make improvements more quickly and help you do business more efficiently.

What's not changing?

Provider.healthnet.com is still your main pre-login portal to access important information and functions, without having to log in to your account, including:

  • Claims submissions.
  • Pharmacy coverage, such as drug lists and prior authorizations.
  • Webinar calendars.

What's changing?

Your post-login content is migrating from provider.healthnet.com to provider.healthnetcalifornia.com. The new improved portal provides:

  • Simplified views of various screens, options and functions.
  • Easy-to-follow registration process with a progress indicator.
  • Quick access to member eligibility check and overview of recent claims activity.
  • Medical policies.
  • General FAQs on topics such as encounters, member benefits and eligibility.
  • Authorization views with multiple functions, such as filtering and obtaining additional details when needed.
  • Claims views and submission functions, such as ability to submit individual or batch claims.
  • Documents Resource Center that allows providers to attach

FAQs about the New Provider Portal


Webinars

Overview of the Provider Portal

Demonstration of the provider portal and what to expect.

Watch recording: Deep Dive into Patient Information

Deep Dive into Authorizations

Training on the self-service tools and what to expect.

Watch recording: Deep Dive into Authorizations

Deep Dive into Claims

Training on the self-service tools and what to expect.

Watch recording: Deep Dive into Claims

Deep Dive into Patient Information

Training on the self-service tools and what to expect.

Watch recording: Deep Dive into Patient Information



For questions, please email Partners In Performance.


CalAIM Provider Training

CalAIM (California Advancing and Innovating Medi-Cal) is a multi-year initiative by DHCS to improve the quality of life and health outcomes of our population by implementing broad delivery system, program and payment reform across the Medi-Cal program.


Webinar topics

We have developed a thorough optional training program designed to ensure the successful deployment of CalAIM. The trainings includes the following topics:

  • General managed care 101 overview and how it impacts CalAIM
  • Member engagement and data sharing process with our plan for Enhanced Care Management (ECM)
  • Referrals, Authorization, and Claims process for ECM and Community Supports (CS)
  • And more

CalAIM Trainings and Office Hour

Instructions on how to access recordings (PDF)

Refer to the Take CalAIM Training Online flyer (Health Net [PDF], CalViva Health [PDF]) for more information on required and optional CalAIM trainings for providers.

COZEVA® 101 webinars

Who should attend?

All providers and staff that lead quality improvement efforts at the practice are welcome to attend the COZEVA® webinars. Webinars will review the core functionalities of the platform and various workflows that support performance improvement. (*Exclusion – Providers currently using another endorsed product from Health Net or California Health & Wellness Plan, such as Interpreta.).

About the webinar:

COZEVA® is a best-in-class reporting and analytics platform that displays performance in clinical quality and risk measures. The Platform gathers data from multiple sources and provides insights into opportunities to address care gaps and improve performance -- all at no cost to you. To learn more about COZEVA®, use this information flyer for PCPs and use this information flyer for PPGs.

When

Webinars are held every week on alternating Wednesdays and Fridays.

Register for COZEVA® webinar

Watch recording: COZEVA® 101


For questions, please email Partners In Performance.

The above calendar topics are subject to change and will be announced in the invitation or during the webinar.

Last Updated: 03/17/2023