Since 2015, Harbage Consulting has been supporting the California Department of Health Care Services (DHCS) in the implementation of the Drug Medi-Cal Organized Delivery System (DMC-ODS) Medicaid section 1115 waiver program.
This program aims to test a new paradigm for the organized delivery of services for Medicaid beneficiaries with a substance use disorder (SUD), while also demonstrating how organized SUD care improves outcomes for beneficiaries while decreasing health care costs. Harbage Consulting’s work on behalf of DHCS includes:
For more information about our work and results, see our DMC-ODS Case Study.
Following our work in 2011 to help the Department of Health Care Services (DHCS) design the Coordinated Care Initiative (CCI)– including the financial alignment demonstration project Cal MediConnect and Medi-Cal Managed Long-Term Services and Supports (MLTSS) – Harbage Consulting was asked to support implementation of the CCI. Our implementation support falls into two categories:
Ensuring Program Sustainability:
Harbage Consulting provides ongoing support to the Department of Health Care Services (DHCS) on the two key programs that are included in the state’s Medi-Cal 2020 Section 1115 waiver, which was approved in December 2015.
Public Hospital Redesign and Incentives in Medi-Cal (PRIME)
Since January 2016, Harbage Consulting has worked closely with DHCS to build upon their first delivery system reform incentive payment (DSRIP) program to develop the Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program. We assisted the state in designing the application and selection criteria for PRIME and are managing the planning and execution of the PRIME Learning Collaborative. Specifically, our support includes:
See PRIME: Continuing California’s Delivery System Transformation for additional details about the program.
Whole Person Care Learning Collaborative
The Whole Person Care (WPC) pilot program was created as part of the Medi-Cal 2020 waiver to give counties the opportunity to establish an infrastructure to provide enhanced care coordination and social supports to at-risk Medi-Cal beneficiaries.
Harbage Consulting is designing and facilitating the WPC Learning Collaborative on behalf of DHCS, bringing the lead entities and their partners together to exchange ideas, discuss their challenges, and identify best practices. Our work in leading the WPC Learning Collaborative includes:
See The Whole Person Care Pilot Program: County Partnerships to Improve the Health of Medi-Cal Beneficiaries for details about the program.