On September 3, 2019, the California Department of Health Care Services (DHCS) issued an alert clarifying that Medi-Cal coverage is available for residents who need “intermediate care,” not just for those who required “skilled” care. This confirmation became necessary because CenCal Health, a Medi-Cal health plan serving San Luis Obispo and Santa Barbara Counties, has aggressively sought to deny Medi-Cal coverage to nursing facility residents on the basis of its assessments that they do not need “skilled” care.
On October 1, 2019, Medicare is implementing a new payment system for skilled nursing facilities (SNFs) that is called the Patient-Driven Payment Model (PDPM).
On September 26, 2019, the U.S. Department of Justice announced that Avanir, a drug company based in California, had agreed to pay $116 million in criminal and civil penalties to resolve charges that it paid kickbacks and engaged in other illegal activities to market Nuedexta as a treatment for elders with dementia. The settlement resolves multiple whistleblower cases concerning the widespread use of Nuedexta to chemically restrain nursing home residents with dementia, which CNN first brought to public attention in its October 2017 story, The little red pill being pushed on the elderly.
In this Issue
- State Investigation Finds Several Laguna Honda Residents Nearly Drugged to Death
- House Passes FAIR Act to Ban Forced Arbitration
- CANHR and Attorney General Becerra Call on Trump Administration to Withdraw Proposal to Roll Back Nursing Home Standards
- DHCS Confirms Nursing Facility Residents with Intermediate Care Needs Are Eligible for Medi-Cal Coverage
- New Medicare Payment System for Skilled Nursing Facilities Takes Effect
- DA and AG Sue Santa Cruz Nursing Home for Dumping Residents
- Drug Company to Pay $116 Million for Kickback Conspiracy to Push Nuedexta on Nursing Home Residents with Dementia
State Investigation Finds Several Laguna Honda Residents Nearly Drugged to Death
When San Francisco City and County officials held a press conference on June 28, 2019 to address an abuse scandal at Laguna Honda, they described acts of its employees as horrific.
I am having a difficult time finding a nursing home willing to accept my partner who is on Medi-Cal upon admission.
An October report by the federal HHS Office of Inspector General reveals that California nursing homes have one of the highest complaint rates in the nation.
Click here to read the full letter.