00:06:33 Wendi Vierra: Wendi Vierra, Neighborhood Healthcare, Director of Operations Behavioral Health 00:06:35 Laura Rath: Good to see everyone! Laura Rath, Archstone Foundation 00:06:37 Debbie Toth: Anthem and Santa Clara Health Plan came to our CAADS conference yesterday and did a presentation on CalAIM and they were very positive about CalAIM and the plan participation and collaboration with community providers. 00:06:38 Lisa Ford: Lisa Ford Alzheimers Coachella Valley 00:06:44 Lindsey Yourman: Lindsey Yourman, MD Chief Geriatrics Officer, County of San Diego, Health and Human Services Agency 00:06:44 Barbra McLendon: Barbra McLendon, Alzheimer's Los Angeles, Public Policy Director 00:06:50 Kim Rothschild: Kim Rothschild - Cal Assoc of Public Authorities for IHSS 00:06:59 Cheryl Winter (she/her), CSH: Cheryl Winter, Corporation for Supportive Housing (CSH), excited to be here at last- I had re-occurring conflicts that just let up so I can now join this group. 00:07:00 Selena Coppi Hornback: Selena Coppi Hornback with the CA Assisted Living Association 00:07:04 Maria Hernandez: Maria Hernandez, Neighborhood Healthcare, San Diego ECM Supervisor 00:07:05 Michelle Johnston: Michelle Johnston, California Department of Aging, Program Director for Dementia Initiatives (also eating lunch πŸ™‚) 00:07:07 Jennifer Schlesinger Alzheimer's LA: Hi everyone! Jennifer Schlesinger, VP, Healthcare Services Alzheimer's Los Angeles 00:07:11 Melissa Gerard- Providence Adult Day Health Napa Valley: Melissa Gerard- ADCRC Program Manager, Dementia Outreach Services for Providence Adult Day Health Napa Valley 00:07:16 Debbie Toth: Debbie Toth, Choice in Aging, Alzheimer's Day Care Resource Center provider, CBAS, MSSP, CCT, mental health case management, intergenerational and and and 00:07:20 Hye-Won Shin_Somang Society: Hye-Won (Grace) Shin from Somang Society, CBO serving AAPI/Korean seniors and their family caregivers 00:07:29 Jenna Hauss: Hello! Jenna Hauss- ONEgeneration 00:07:29 Sarah Gonzaga: Sarah Gonzaga, SEIU 2015 00:08:18 Jasmine Lacsamana: Jasmine Lacsamana, Program Officer, Archstone Foundation 00:08:33 Carly Roman | she/her | Archstone Foundation: Carly Roman, Program Officer, Archstone Foundation 00:08:52 Cindy Skovgard: Hi Everyone! Cindy Skovgard from Pathways. 00:09:01 Cindy Skovgard: Glad to be here :-) 00:09:38 Julie Pham: Julie Pham, DHCS, sorry I’m in transition so I won’t be in camera. 00:10:38 Barbara Mandel: Barbara Mandel, San Diego Alzheimer’s Project Clinical Roundtable Facilitator. Glad to join 00:11:04 Mary Michlovich: Mary Michlovich, Executive Director, OPICA Adult Day Program & Counseling Center, Inc., West Los Angeles 00:11:09 Lisa Ford: Thank you Dan! Very interested in connecting and will reach out to schedule time. 00:11:26 Anchu Biswas, Saahas for Cause: Hi everyone, Anchu Biswas, Community Relations Manager, Saahas for Cause 00:13:11 Brooke Ehrenpreis: ECM Quarterly Report: https://storymaps.arcgis.com/collections/a07f998dfefa497fbd7613981e4f6117 00:14:24 Darren Xanthos: Individualized TA - Darren Xanthos - dxanthos@xhealthsolutions.com 00:16:20 Jasmine Lacsamana: not much truth to that. 00:17:18 Michelle Johnston: These folks are also likely to be receiving other healthcare solicitation calls and scam calls/emails. 00:18:10 Lisa Ford: Will this presentation deck be posted or sent to us? 00:19:38 Brooke Ehrenpreis: Yes we will distribute the slides and the recording 00:19:42 Jasmine Lacsamana: Replying to "Will this presentati..." HI Lisa, we'll post it on the website and provide links in a follow up email. 00:20:24 Jasmine Lacsamana: Not exactly. You are only excluded if your MA plan is a DSNP. Regular MA is not an exclusion. 00:20:26 Lindsey Yourman: to emphasize what Julie is saying: 00:21:30 Spencer Lively: Reacted to "{3BC820D1-BFE9-459C-AD71-0947610CA285}.png" with πŸ‘ 00:21:40 Sarah Gonzaga: Reacted to "{3BC820D1-BFE9-459C-AD71-0947610CA285}.png" with πŸ‘ 00:21:45 Lindsey Yourman: I wish that the referral form could just be for "care coordination" and then our plan can decide whether that should be through the D-SNP care coordination vs. ECM, etc. Hard for clinician to figure out what type of care coordination benefits/Medi-Cal Managed care plan patient has 00:21:50 Jasmine Lacsamana: There are about 200k OA duals of 1.5M OA duals who are in DSNPs so there are about 1.3M who are ecm eligible, depending on clinical(ish) situations. 00:22:49 Cheryl Winter (she/her), CSH: Does "recipient" mean authorized but also include those who may not have been able to hire/identify a caregiver yet? 00:25:05 Lisa Ford: I don't see the link anymore, can someone please repost the update link. 00:25:42 Jasmine Lacsamana: Replying to "I don't see the link..." https://archstone.org/resources/csdlc 00:25:58 Jasmine Lacsamana: Replying to "I don't see the link..." we will update the website with information after this meeting 00:26:25 Brooke Ehrenpreis: https://storymaps.arcgis.com/collections/a07f998dfefa497fbd7613981e4f6117 00:26:32 Brooke Ehrenpreis: https://www.dhcs.ca.gov/CalAIM/ECM/Documents/ECM-Community-Supports-Action-Plan-03192024.pdf 00:29:14 Laura Rath: Reacted to "{3BC820D1-BFE9-459C-AD71-0947610CA285}.png" with πŸ‘ 00:33:41 Jasmine Lacsamana: Another big reason for lack of penetration into OA (duals) for ECM is that any success that CalAIM/ECM has as of yet is almost entirely in the Counties that had Whole Person Care and within the operational regime that WPC covered. Older adults (duals) were excluded from WPC because they were supposed to be addressed in Cal MediConnect. As of 9/23 5,000 people from the non WPC/HHP counties were active ECM cases as compared to the 85,000 people in ECM that quarter. I would suspect that about 1/3 of the population of CA and a disproportionate share of OAs are in the non WPC, non HHP counties. 00:36:00 Jasmine Lacsamana: is there an assessment of ADL impairment in the HCBA waitlist? 00:37:50 Lindsey Yourman: Reacted to "Another big reason f..." with πŸ‘ 00:40:51 Jasmine Lacsamana: Eligibility for PoF 5 is based on ADL impairment - our focused slice of PoF 5 is plwd, but that is a subset of eligible. 00:42:35 Jasmine Lacsamana: But if 1/3 of those referred got into ECM, that is a GREAT hit rate! 00:43:01 Laura Rath: Reacted to "But if 1/3 of those ..." with πŸ‘ 00:44:11 Jasmine Lacsamana: So that means they are really just doing PoF 2 - high utilizers. 00:44:18 Debbie Toth: Chris - aka Jasmine - or other way around - I asked the Anthem guy yesterday why they are identifying so few people who qualify and it's because it is different for different age groups. And they don't have good data. He said they identified something like 457 people in our SNF or SNF diversion pop that would qualify in their service area. 00:45:48 Jasmine Lacsamana: Reacted to "But if 1/3 of those ..." with πŸ‘ 00:46:15 Barbra McLendon: I'm encouraged that at least some plans have developed algorithms to identify people for ECM. We continue to believe that the plans are much better positioned (despite data quality challenges) than CBOs to identify potential ECM clients. 00:47:12 Jasmine Lacsamana: Reacted to "I'm encouraged that ..." with πŸ‘πŸ½ 00:48:25 Jennifer Schlesinger Alzheimer's LA: Patty Mouton! 00:48:33 Jasmine Lacsamana: Reacted to "Patty Mouton!" with πŸ‘πŸ½ 00:48:41 Debbie Toth: Patty Barnett Mouton 00:48:50 Debbie Toth: HAHAAH - I am slow! 00:51:22 Cindy Skovgard: So sorry to have to jump off. I have a site visit with a funder at noon. 00:51:30 Cindy Skovgard: Thank you for the great information! 00:53:02 Jasmine Lacsamana: Replying to "Chris - aka Jasmine ..." Sorry Debbie - so few people who qualify for what? PoF 6? A plan could find people who might qualify for PoF 5 if the admin data has ADL assessment, if the admin data has dementia documented, if the admin data has relevant drugs - either in MediCal or Medicare. Plans have access to both data feeds (per DHCS). Don't know what share of the total pop of PoF 5 eligible could be found by those mechanisms. Maybe between 30-50%. The Policy Guide says that ecm contractors (or MCPs) are supposed to be the kinds of outfits that can look into IHSS roles, waitlists, and CBAS attendees. I realize that I don't have any idea what that would be like. Have any ECM providers come to your CBAS and asked you to tell them the ADL/Dementia status of your attendees who have particular plan coverage? 🧐 00:53:19 Julie Pham: Thank you this great collaboration. I have to hop to another meeting. 01:01:04 Debbie Toth: Thank you, Heather 01:01:11 Lindsey Yourman: thank you so much for coming, heather, that was so helpful! 01:01:18 Debbie Toth: It's nice to have soulful humans leading work at the MCOs 01:01:24 Jenna Hauss: Thank you! I have to join another call. 01:01:26 Heather Wanket: Thank you also! 01:01:29 Jennifer Schlesinger Alzheimer's LA: Thank you, Heather. Helpful to hear your thoughts and appreciate your leadership.