22-028m 2022 Mandatory General Compliance Training Schedule
Date: 01/14/22
This information applies to Participating Physician Groups (PPGs).
For Medi-Cal, this information applies to Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.
Choose live or on-demand options to help you meet annual compliance requirements
The required annual course training is for select participating physician group (PPG)/management service organization (MSO) team members, current providers and those newly hired. Providers cannot waive required training.
Registration
Refer to the course schedule below to register or view the trainings and descriptions. To receive an invite to the live session, you must register using the links in the course schedule. However, providers have the option to attend either session type below:
- Live session – Conducted by a subject matter expert (SME) at the dates/times listed.
- On-demand – A recorded version of the live session can be viewed at any time. You can download the training material and associated documents as well as ask questions of the SME as part of the training.
Attestation requirements
At the end of a training session, you are directed to a short survey and attestation to document that you completed the training. Attestations must be completed by all attendees. If you log in as a group, submit your own attestations separately. This ensures each attendee receives credit.
Send questions about the courses, registration or accessing attestation to Partners in Performance.
PPG responsibility
Review the courses below, which are listed by lines of business. Determine the target audience for each training and communicate the information. Depending on the training, this could include staff member(s) in your organization and/or all contracted providers in your group(s).
If you have internal training material that you believe meets the needs of one or more of these sessions, email the material for review to Delegation Oversight. If approved, you will receive a request for training records and attestation of training completion as evidence. Note: Model of Care (MOC) training is plan-specific. The requirement cannot be met by a generalized MOC training. Approval to use a local MOC training will only be granted if it contains the specific Health Net MOC material.
Quarterly training roster
Every quarter, Delegation Oversight provides the PPG/MSO with the current list of trainees who have completed training per our records. This helps you track your organization’s progress toward meeting the requirements. Once all required attendees have completed the training, an attestation must be signed by leadership in utilization management or case management.
Adherence to these training requirements, and completion of attestations, will be evaluated as part of your annual Health Net Delegation Oversight Utilization Management (UM) compliance audit.
Review course topics
The following are additional details about the topics covered for each course, based on regulatory requirements.
Accessibility and Accommodations – A review of the current required or mandated statewide Physical Accessibility Review Survey (PARS). This survey is used to identify potential accessibility barriers to providers’ offices, clinics and other health care providers for seniors and people with disabilities.
Long-term services and supports (LTSS) and Multi-Purpose Senior Services Program (MSSP) training includes definitions, explanations and details about:
- Addition of LTSS and social services to contractor operations
- Assessment and reassessment processes, services and service authorization process
- How to refer an enrollee to MSSP for assessment and eligibility determination
- LTSS programs and coordination
- MSSP eligibility criteria
- Overview of the characteristics and needs of MSSP's target population
Dementia – This training session includes detailed information about:
- Caregiver stress and its management
- Community resources for enrollees and caregivers
- Symptoms and progression of dementia
- Understanding dementia
- Understanding and managing behaviors and communication problems caused by dementia
Model of Care (MOC) training is required for Special Needs Plan (SNP)/Cal MediConnect (CMC) participating providers, and all ICT members. Training completion is required within 90 days of contracting, hiring or becoming a delegated entity, and yearly thereafter (by December 31 of the year). The training includes information about:
- Additional SNP/CMC benefits
- Care transitions
- Case management
- Coordination of Medicare and Medicaid benefits
- Description of the SNP/CMC population
- Goals of the MOC
- Health Risk Assessment (HRA)
- Individualized Care Plans (ICP)
- Interdisciplinary Care Team (ICT)
- Person-centered planning process
- Provider network
- Quality Improvement Program
Special needs and cultural competency – This training takes you through many topics to assist you with interacting with members and supporting their individual care needs, including:
- Core concepts of the Olmstead Decision
- Cultural competency
- Cultural and cognitive competence
- Disability sensitivity
- Health education
- Health, safety and welfare education
- Independent living
- Linguistics
- Person-centered planning process
- Wellness principles
Course schedule
The schedule below for HMO, POS, PPO, EPO (Commercial), Medicare, Medi-Cal and Cal MediConnect providers is not all-inclusive. Additional required webinars are scheduled throughout the year.
Course name | Line(s) of business | Audience1 | Date and Pacific time2 |
|---|---|---|---|
Accessibility and Accommodations | Cal MediConnect | All current and potential ICT3 members. | Wednesday, May 18, 2022 |
Long-Term Services and Supports (LTSS) and Multi-Purpose Senior Services Program (MSSP) |
Cal MediConnect Medi-Cal | All current and potential ICT3 members. Care coordination staff. | Wednesday, May 18, 2022 |
Dementia | Cal MediConnect | All Care coordination staff supporting members. | Wednesday, July 12, 2022 |
Model of Care (MOC) | Cal MediConnect Medicare Advantage – Special Needs Plan (SNP) | PPG/MSO Case Management Providers–Current and potential ICT3 members | Wednesday, May 4, 2022 |
Special Needs and Cultural Competency | Cal MediConnect Commercial Medicare Medi-Cal | All PPG personnel who interact All providers, ICT3 members and staff involved in care coordination. | Wednesday, April 6, 2022 |
1 Training is mandatory for these audiences.
2 Training dates are subject to change. Once you have registered for a course, you will be automatically updated with any changes to dates and times.
3 ICT = Interdisciplinary Care Team