JurisdictionCaliforniaCode HSCHealth and Safety Code - HSC
Div. 106.DIVISION 106. PERSONAL HEALTH CARE (INCLUDING MATERNAL, CHILD, AND ADOLESCENT)
Part 2.PART 2. MATERNAL, CHILD, AND ADOLESCENT HEALTH
Ch. 3.CHAPTER 3. Child Health
Art. 6.ARTICLE 6. Child Health And Disability Prevention Program
(a)Before July 1, 2024, the department shall take the following steps:
(1)Conduct a stakeholder engagement process to inform the department in the development and implementation of a transition plan and defined milestones to guide the transition of Child Health and Disability Prevention (CHDP) to other existing Medi-Cal delivery systems or services.
(A)The stakeholder engagement process shall include representatives of the State Department of Social Services, the State Department of Public Health, the County Health Executives Association of California, the County Welfare Directors Association of California, the California Dental Association, the American Academy of Pediatrics
California, the Service Employees International Union, Medi-Cal managed care plans, children’s advocates,
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(a)
Before July 1, 2024, the department shall take the following steps:
(1)
Conduct a stakeholder engagement process to inform the department in the development and implementation of a transition plan and defined milestones to guide the transition of Child Health and Disability Prevention (CHDP) to other existing Medi-Cal delivery systems or services.
(A)
The stakeholder engagement process shall include representatives of the State Department of Social Services, the State Department of Public Health, the County Health Executives Association of California, the County Welfare Directors Association of California, the California Dental Association, the American Academy of Pediatrics
California, the Service Employees International Union, Medi-Cal managed care plans, children’s advocates, and subject-matter experts as identified by the department.
(B)
The department shall strive to ensure the stakeholder engagement process reflects participation from the various regions throughout the state, including large urban and rural jurisdictions.
(C)
The department shall launch the stakeholder engagement process by convening the first meeting no later than October 1, 2022.
(2)
Develop a transition plan that shall include, at a minimum, all of the following:
(A)
A posttransition oversight and monitoring plan for Medi-Cal children currently served through CHDP, including those in fee-for-service and foster youth.
(B)
A plan for how managed care plans will monitor providers serving children for adherence to the Bright Futures Guidelines from the American Academy of Pediatrics and the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program standards, including, but not limited to, requirements for site reviews, provider training and audits, and coordination of care to needed services, including to dental and behavioral health providers.
(C)
A plan to fund the administrative and services costs of the Health Care Program for Children in Foster Care to meet statutory requirements.
(D)
An analysis and plan for retaining existing local CHDP positions through the exploration of new partnerships and roles, or through bolstering existing programs that can leverage CHDP expertise, or through both.
(3)
Provide an update to the Legislature during the 2023—24 budget hearings on the proposed transition plan.
(4)
Take actions necessary to continue Medi-Cal presumptive eligibility for children under 19 years of age, including expanding access within the Children’s Presumptive Eligibility Program to include all eligible Medi-Cal providers.
(5)
Take actions necessary, in consultation with the State Department of Social Services, to continue the Health Care Program for Children in Foster Care, including entering into contracts pursuant to subdivision (f) of Section 16501.3 of the Welfare and Institutions Code.
(6)
Take actions necessary, in consultation with the State Department of Public Health, to continue the Childhood Lead Poisoning Prevention Program
activities.
(7)
Seek any federal approvals the department deems necessary to implement this section. This section shall be implemented only to the extent that any necessary federal approvals are obtained and the department determines that federal financial participation is available and is not otherwise jeopardized.
(b)
All qualified providers enrolled in the CHDP Program as of June 30, 2024, will be automatically enrolled as providers under the Children’s Presumptive Eligibility Program on July 1, 2024. Medi-Cal providers not enrolled in the CHDP Program as of June 30, 2024, must follow all prescribed departmental rules and guidance in order to enroll as a Presumptive Eligibility qualified entity.
(c)
Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government
Code, the department may implement, interpret, or make specific this section, in whole or in part, by means of all-county letters, plan letters, provider bulletins, numbered letters, information notices, or other similar instructions, without taking any further regulatory action.
(d)
The department shall issue a declaration certifying the date that all activities required pursuant to subdivision (a) have been completed. The department shall post the declaration on its internet website and provide a copy of the declaration to the Secretary of State, the Secretary of the Senate, the Chief Clerk of the Assembly, and the Legislative Counsel.