Medi-Cal CHART PACKET by huanghengdong

VIEWS: 5 PAGES: 3

									                         LOW MEDI-CAL RATES LIMIT BENEFICIARY ACCESS
                                                 Counties Providing Medi-Cal Home Health Visits


                                                                                                                               Counties with 2-10 HHAs Butte,
                                                                                                                               Contra Costa, El Dorado, Humboldt,
              Counties with one HHA                                                                                            Imperial, Kern, Kings, Lake,
              Amador, Calaveras, Colusa, Del                                                                                   Mendocino, Merced, Monterey, Napa,
              Norte, Inyo, Lassen, Madera,                                                                                     Nevada, Placer, Plumas, San Francisco,
              Marin, Mariposa, San Benito,                                                                                     San Joaquin, San Luis Obispo, San
              Solano, Trinity, Yolo, (13)                                                                                      Mateo, Santa Barbara, Santa Clara,
                                                                                                 31 Counties                   Santa Cruz, Shasta, Sonoma, Siskiyou,
                                                                                                                               Stanislaus, Sutter, Tehama, Tulare,
                                                                                                                               Tuolumne (31)

                                                              13 Counties



                                                                                                                                 Counties with 11-20 HHAs
                                                                                                                                 Alameda, Fresno, Orange,
                                                                                                                                 Sacramento, Ventura (5)
              Counties with zero HHAs                                6 Counties                   5 Counties
              Alpine, Glenn, Modoc, Mono,
              Sierra, Yuba (6)


                                                                                      1      3                         Counties with 21-99 HHAs
                                                                                                                       Riverside, San Bernadino, San Diego (3)
                                       Counties with 100+ HHAs
                                       Los Angeles (1)

Key Facts:
There are 715 HHAs in California that are Certified to provide Medi-Cal services. Only 546 of these actually provided any Medi-Cal services in 2005. There is an
important distinction between the number of Medi-Cal agencies that certified to provide care, and the number of agencies that actually do provide care. There are 6
coutnies where no Medi-Cal home health agency visits were provided in 2005. There are additionally 13 other counties where there is only one provider of Medi-Cal
Home Health Agencies. Over half of all home health agencies limit there services to one hundred or less Medi-Cal visits per year.



                                                                                                                                                                  Page 5
       LIMITED MEDI-CAL BENEFICIARY ACCESS TO HOME HEALTH SERVICES
                                    ALL Home Health Visits (N=9,408,280) by Source of Payment



                                                                                                      Medi-Cal, 7.50%



        Medicare, 70.00%
                                                                                                                Other Third Party,
                                                                                                                      6.60%




                                                                                                     Other Sources,
                                                                                                        15.80%

Key Facts:
Even though 82% of all Home Health Agencies in California are Medi-Cal certified, only 7.5% of HHA payment sources are Medi-Cal; A CAHSAH
survey of discharge planners and home health agencies in five counties (Los Angeles, Sacramento, Monterey, San Francisco, and Butte) in Fall 2006
revealed that low reimbursement rates and lack of nurses were key factors that limited the census of Medi-Cal patients for home health agencies.
Nineteen home health agencies (2% of all agencies) from the five sampled counties (Los Angeles, Sacramento, Monterey, San Francisco, and Butte)
indicated that they collectively deny 93 patients per month. Extrapolated across the state, 4,185 patients are denied monthly and 50,220 patients are
denied per year.
                    LOW MEDI-CAL RATES LIMIT BENEFICIARY ACCESS
                           Home Health Agencies and Medi-Cal Visits as Percent of Total Visits
                                          (Home Health Agencies N=860, Total Medi-Cal Visits N=977,170)



                            Home Health Agencies that                                           Home Health Agencies that
                            provided 5% to 25% of their                                        provided 25% or more of their
                           total Visits as Medi-Cal Visits,                                   total visits as Medi-Cal Visits, 56
                                          154

                                                                    18%        6%
                                                                                                             Home Health Agencies that are
                                                                                                             NOT Medi-Cal Certified, 145

                                                                                       17%


                                                              36%
        Home Health Agencies that
       provided less than 5% of their
       total Visits as Medi-Cal Visits,                                        23%
                      310

                                                                                                 Home Health Agencies that are
                                                                                                    Medi-Cal Certified, but
                                                                                                 provided NO Medi-Cal Visits,
                                                                                                             204

Key Facts: Most agencies provide very few home health visits to Medi-Cal beneficiaries and elect to provide services to Medicare beneficiaries,
private pay and health insurance beneficiaries. Forty percent of all home health agencies in California do not provide any home health Medi-Cal
visits, and more than half (52%) of all home health agencies certified to provide Medi-Cal visits, provided less than 75 Medi-Cal visits in 2005.
Onlt a few agencies are providing most of the Medi-Cal visits. Just under one quarter (24%) of all home health agencies in California had 5 percent
or more Medi-Cal visits of thier total visits.

								
To top