The Chicago School Of Professional Psychology

1680 Words Sep 17th, 2016 7 Pages
CENTENE CORPORATION
Hyunwoo Eddie Yi
The Chicago School of Professional Psychology
PB535

In year 2011, the California Department of Health Care Services (DHCS) sent a letter to Medi-Cal beneficiaries particularly to those who are participating in Adult Day Health Care (ADHC) centers, informing their plan to end the coverage for ADHC. ADHC is a community-based healthcare program for elderlies with chronic conditions including medical, behavioral, mental and cognitive ailments that need continuous monitoring. ADHC’s primary focus is to reduce the risk of being institutionalized and assist elderlies maintain their ability to live independently at home. The DHCS’s reasoning for the termination of ADHCs was fairly basic: saving money for the state of California. The DHCS sought ADHC participants who were mostly both Medicare and Medi-Cal beneficiaries to transition out of the program to enroll in managed care. Many ADHC advocates have stand against the decision and argued that elimination of ADHC will only cost the state more for putting at-risk elderly and disabled patients out of their regular monitoring facility. Following a federal lawsuit filed by Disability Rights California and other plaintiffs, a new settlement was proposed to the parties. The state announced to use the savings to fund the program called Community Based Adult Services (CBAS) instead. CBAS is designed very similarly to ADHC in order to replace the gap left by the elimination of…
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