This is a guide to help California Medi-Cal managed care plans (MCPs) assess and optimize a palliative care program that meets or exceeds the state’s requirements to ensure access to palliative care (PC) for eligible members. The other main audience is palliative care provider organizations that are, or might become, contracted provider partners for these MCPs.
This guide is a collection of curated resources that have served California’s Medi-Cal MCPs and their PC partners best, along with new resources that the California Health Care Foundation (CHCF) has assembled from the recommendations and materials (e.g., job descriptions and process workflows) of successful MCP-PC partnerships.
The five sections of the guide are organized in a stepwise progression, from designing core structures and processes to monitoring quality and improving operations. However, the sections and their related resources can be used in any order.
