Operational, Administrative and Value-Added Provider Trainings
Discover our educational training programs to improve your expertise. While not mandatory, these trainings strive to support you in delivering quality care to patients and improving your overall business interactions with us. Refer to the table for details.
| Training name | Applies to providers contracted for these LOBs | Description | Frequency | Registration date and time or recording link |
|---|---|---|---|---|
| 2023 Medi-Cal Risk Adjustment Model Changes CDPS + Rx | Medi-Cal | The California Department of Health Care Services recently shared changes to the Risk Adjustment program model. The new change helps determine appropriate risk premium, strengthens the accuracy of member health status profiles, and boosts the quality of care through the disease management programs. | As needed | Pre-recorded webinar: 2023 Medi-Cal Risk Adjustment Model Changes CDPS + Rx (duration: 21:23) |
| Antidepressant Medication Management and Antipsychotic Medication Adherence: Optimizing the AMM and SAA HEDIS® Measures |
| The training will help physical and behavioral health providers better understand the intent of the behavioral health measures, review and share strategies to impact quality care and outcomes for those that they serve. | As needed | Antidepressant Medication Management and Antipsychotic Medication Adherence: Optimizing the AMM and SAA HEDIS® Measures |
| Addressing Care Disparities Across Preventive and Chronic Conditions | Commercial | Having a better understanding of the role of social and cultural drivers in preventive and chronic conditions can improve care access, quality, and health outcomes of key preventive measures. | Annually | Pre-recorded webinar: Addressing Care Disparities Across Preventative and Chronic Conditions (duration: 53:19) |
| Advancing Outpatient Antibiotic Stewardship |
| Instructs clinicians on how to improve antibiotic prescribing to prevent harmful side effects and antibiotic resistance. | As Needed | Pre-recorded webinar: Advancing Outpatient Antibiotic Stewardship (duration: 34 minutes) |
| Capitated Encounters | Medi-Cal | Focuses on inbound encounter best practices as it relates to voids, adjustments and replacements (VAR). Training also includes direct pay incentive best practices. | As needed | Pre-recorded webinar: Capitated Encounters (duration: 23:21) |
| CMS-HCC Risk Adjustment Provider Education - 2023 ICD-10 Updates | Medi-Cal | Discussion focused on hierarchical condition category (HCC) risk adjustment and why your role in risk adjustment is crucial to the health of our members. | As needed |
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| CMS Risk Adjustment Model Changes v28 | Medicare | Review the latest change from the 2024 Medicare announcement for Centers for Medicare & Medicaid Servicese (CMS) HCC risk adjustment model v28. | As needed | Pre-recorded webinar: CMS Risk Adjustment Model Changes (duration: 16:26) |
| Community Connect – findhelp Training | Medi-Cal | Learn how to access and refer members to low- to no-cost social care resources and services. | As needed | Pre-recorded webinar: Community Connect – findhelp Training |
| COZEVA® 101 webinars |
| COZEVA is a best-in-class reporting and analytics platform that displays performance in clinical quality and risk measures. The Platform gathers data from multiple sources and provides insights into opportunities to address care gaps and improve performance - all at no cost to you. | As needed | |
| Coding for Vascular Conditions | Medicare | A resource training guide is available to Medicare and Medicare D-SNP providers to assist in documenting and coding vascular conditions. It includes overview of vascular diseases, covers what is risk adjustment, why is it important and provides examples of coding to the highest specificity based on documentation. | As needed | Coding For Vascular Conditions Resource Training Guide |
| Detecting Abuse and Neglect: Intimate Partner Violence, Child Abuse and Human Trafficking |
| Abuse and neglect are serious, preventable public health problems affecting millions. This training will educate attendees on a broad topic of the prevalence, impact, risk and protective factors and resources regarding intimate partner violence, child abuse and human trafficking. | As needed | Pre-recorded webinar: Detecting Abuse and Neglect
(duration 32:52) |
| Cultural Competency Part 1: An Overview of Cultural Humility |
| This microlearning will cover the following objectives:
| As needed | Cultural Competency Part 1: An Overview of Cultural Humility E |
| Cultural Competency Part 2: Working with Immigrant and Refugee Populations |
| This microlearning will cover the following objectives:
| As needed | Cultural Competency Part 2: Working with Immigrant and Refugee Populations |
| Detecting Abuse and Neglect: Intimate Partner Violence, Child Abuse and Human Trafficking |
| Abuse and neglect are serious, preventable public health problems affecting millions. This training will educate attendees on a broad topic of the prevalence, impact, risk and protective factors and resources regarding intimate partner violence, child abuse and human trafficking. | As needed | Detecting Abuse and Neglect (duration 32:52) |
| eConsult Services |
| Learn about eConsults, which are digital dialogues between primary care physicians (PCPs) and California-licensed specialists to provide rapid support to the PCP. | As needed | |
| Enhancing Member Experience with Behavioral Health Care Services: Experience of Care and Health Outcomes (ECHO) Survey |
| This training is designed to help medical and behavioral health providers and staff, to better understand what the behavioral health Experience of Care and Health Outcomes (ECHO) Survey is, the composite measures, and strategies to improve our members' experience with mental health and substance use services. | As needed | Enhancing Member Experience with Behavioral Health Care Services: Experience of Care and Health Outcomes (ECHO) Survey |
| Follow-Up Care After a Hospital or Emergency Department Visit for Mental Illness: Optimizing the FUH and FUM HEDIS® Measures |
| The training will help physical and behavioral health providers better understand the intent of the behavioral health measures, and review and share strategies to impact quality care and outcomes for those that they serve. | As needed | Follow-Up Care After a Hospital or Emergency Department Visit for Mental Illness: Optimizing the FUH and FUM HEDIS® Measures |
| Follow-Up for Children Prescribed Medication for ADHD and the Use of Psychosocial Care for Child/Adolescents Prescribed Antipsychotic Medications HEDIS® Measures |
| The training will help physical and behavioral health providers better understand the intent of the behavioral health measures, and review and share strategies to impact quality care and outcomes for those that they serve. | As needed | Follow-Up for Children Prescribed Medication for ADHD and the Use of Psychosocial Care for Child/Adolescents Prescribed Antipsychotic Medications HEDIS® Measures |
| Initiation and Engagement, Follow-Up After Emergency Department or High Intensity Care for Substance Use Disorders: Optimizing the IET, FUA, and FUI HEDIS® Measures |
| The training will help physical and behavioral health providers better understand the intent of the behavioral health measures, and review and share strategies to impact quality care and outcomes for those that they serve. | As needed | Initiation and Engagement, Follow-Up After Emergency Department or High Intensity Care for Substance Use Disorders: Optimizing the IET, FUA, and FUI HEDIS® Measures |
| Improving Timely Follow-Up Care After an Emergency Department Visit for Mental Illness or Substance Use |
| Introduction to HEDIS® measures Follow-Up After Emergency Department Visit for Mental Illness (FUM) and Follow-Up After Emergency Department Visit for Substance Use (FUA). | As needed | |
| Medi-Cal Rx Prior Authorization Reinstatement | Medi-Cal | Learn about Medi-Cal Rx reinstatement of prior authorization for several drug classes. | As needed | Pre-recorded webinar On-demand (duration: 13 minutes) |
| Monkeypox Vaccine Training |
| Monkeypox overview, description, signs, symptoms, monitoring parameters and treatment. | As needed | Pre-recorded webinar: Monkeypox Vaccine Training |
| Opioid and Substance Use Disorder Training |
| This training addresses the opioid epidemic in California, focusing on the barriers healthcare providers encounter when treating Opioid Use Disorder (OUD). It emphasizes the importance of increasing buprenorphine prescriptions and the role of naloxone in harm reduction. Additionally, it discusses how Health Net supports members with OUD and offers strategies for providers to effectively assist these individuals. | As needed | Opioid and Substance Use Disorder Training (duration: 32:12) |
| Psychotropic Medications (adapted from Centene Advanced Behavioral Health) |
| This series of microlearnings on psychotropic medications will review the classes of psychotropic medications, uses for specific diagnoses, common symptoms and considerations for special populations. There are 10 modules in this series. | As needed | Psychotropic Medications (adapted from Centene Advanced Behavioral Health) |
| Population Health Management: Chronic Condition Disease Series |
| This training will provide an overview of disease state/treatment, signs/symptoms and monitoring parameters, consequences of disease state/complications and treatment options. | As needed |
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| Provider Analytics |
| Provider Analytics, a web-platform designed for self-service, provides real-time reporting and dashboards on cost, utilization and risk adjustment for participating physician groups (PPGs) providers at the PPG/satellite and member level. | As needed |
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| Strategies to Improve Cardiovascular, Diabetes, and Metabolic Monitoring: APM, SSD, SMC, and SMD HEDIS® Measures |
| The purpose of the training is for medical and behavioral health providers to recognize the intent of the APM, SSD, SMC, and SMD behavioral health HEDIS measures and share strategies to impact quality care and outcomes for members. | As needed | Strategies to Improve Cardiovascular, Diabetes, and Metabolic Monitoring: APM, SSD, SMC, and SMD HEDIS® Measures |
| Timely Access to Care Training 2024 |
| Overview of Timely Access and Availability Standards | As needed | Timely Access to Care Training 2024 recording (duration: 25:17) |
| Transition to Medi-Cal Rx | Medi-Cal | The Medi-Cal Rx 101 webinar reviews the transition, provider portal information, prior authorizations, the contract drug list and more. | As needed | November 18, 2021 webinar recording |