Medi-Cal: Program of All-Inclusive Care for the Elderly.
By expanding the capabilities of approved PACE organizations to utilize video telehealth for a broader range of assessments, AB 1022 emphasizes the significance of accessible healthcare for elderly individuals. This change is likely to streamline the assessment and enrollment process in the PACE program, reducing operational barriers that may have previously hindered access to care. As a result, beneficiaries may find it easier to receive timely evaluations, which could lead to improved health outcomes and a better coordination of services.
Assembly Bill 1022, introduced by Assembly Member Mathis on February 15, 2023, seeks to amend specific provisions within the Welfare and Institutions Code relating to the Medi-Cal program, particularly the Program of All-Inclusive Care for the Elderly (PACE). This legislation aims to enhance care delivery by requiring capitation rates under PACE to reflect the frailty and risk levels of enrolled populations. The proposed changes are designed to improve the quality of care for elderly individuals who are often dual-eligible for both Medi-Cal and Medicare by fostering a more integrated health care approach.
Notably, the bill may face challenges regarding the implementation of these provisions due to the need for federal approvals. The necessity of ensuring that capitation rates accurately reflect the care levels and risks involved could pose logistical and operational difficulties for the health care department and participating organizations. Furthermore, while the use of telehealth is a progressive step, concerns about ensuring comprehensive care and monitoring through virtual platforms may bring about debate among stakeholders regarding the adequacy of virtual assessments in serving the needs of frail elderly populations.