Section 14127.6 - Requirements for implementation of program(a) The Health Home Program shall be implemented only if and to the extent federal financial participation is available and the federal Centers for Medicare and Medicaid Services approves any state plan amendments and any necessary waivers sought pursuant to this article.(b)(1) Except as provided in paragraph (2) and subdivision (c), this article shall be implemented through the 2020-21 state fiscal year only if no additional General Fund moneys are used to fund the administration and costs of services.(2) Notwithstanding any other law, for the 2021-22 state fiscal year and each state fiscal year thereafter, as applicable, this article may be implemented using General Fund moneys upon appropriation by the Legislature.(c) Notwithstanding subdivision (b), if the department projects, based on analysis of current and projected expenditures for health home services before, during, or after the first eight quarters of implementation, that this article can be implemented in a manner that does not or will not result in a net increase in ongoing General Fund costs for the Medi-Cal program, the department may use state funds to fund any Health Home Program costs.(d) The department may use new funding in the form of enhanced federal financial participation for health home services that are currently provided to fund additional costs for new Health Home Program services.(e) Through the 2020-21 state fiscal year, the department shall seek to fund the creation, implementation, and administration of the program with funding other than state general funds.(f) The department may revise or terminate the Health Home Program any time after the first eight quarters of implementation if the department finds that the program fails to result in reduced inpatient stays, hospital admission rates, and emergency department visits, or results in substantial General Fund expense without commensurate decreases in Medi-Cal costs among program participants.(g)(1) Notwithstanding any law, the department shall cease to implement the Health Home Program on January 1, 2022, or the effective date reflected in any necessary federal approvals obtained by the department to implement the Enhanced Care Management benefit under the California Advancing and Innovating Medi-Cal initiative pursuant to Section 14184.205, whichever is later.(2) The department shall conduct any necessary closeout activities associated with the Health Home Program, including, but not limited to, the evaluation required pursuant to subdivision (a) of Section 14127.5.(3) This article shall remain in effect only until January 1, 2023, and as of that date is repealed.Ca. Welf. and Inst. Code § 14127.6
Amended by Stats 2021 ch 143 (AB 133),s 385, eff. 7/27/2021.Added by Stats 2013 ch 642 (AB 361),s 2, eff. 1/1/2014.