Provider Webinar Information and Training Materials

Coding for Vascular Conditions

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.

Lists the services that are available such as live webinars, Train the Trainer, chart reviews and disease-specific coding reference materials.

Webinar resources

• Coding for Vascular Conditions (PDF)
  

Language Assistance Program and Health Literacy

1. Define health literacy & its impact on patients.
2. Identify Language Assistance Program services and requirements.
3. Learn plain language communication strategies.
4. Identify resources to support patient-provider communication.

Webinar resources

• Pre-recorded webinar: Language Assistance Program and Health Literacy
  (duration: 43:23)

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.

Webinar resources

• Pre-recorded webinar: Detecting Abuse and Neglect
  (duration: 32:52)

Childhood BMI Screening

Training objectives:

Calculate or determine BMI value, select appropriate growth for age group and identify age range for with the Body Mass Index (BMI) screening is used.

Webinar resources

• Pre-recorded webinar: Childhood BMI Screening
  (duration: 31:35)

Childhood Vision Screening

Training objectives:

Understand the importance of vision screening during childhood, identify the steps of vision screening and document results.

Webinar resources

• Pre-recorded webinar: Childhood Vision Screening (duration: 12:29)

Childhood Audiometric Screening

Training objectives:

Understand requirements for equipment and the screening environment, identify the different types of hearing loss and document the results of audiometric screening.

Webinar Resources

Pre-recorded webinar: Childhood Audiometric Screening (duration: 4:13)

Childhood Dental Screening/Topical Fluoride Treatment

Training objectives:

Discuss the effects and benefits of topical fluoride application.

Webinar resources

• Pre-recorded webinar: Childhood Dental Screening/Topical Fluoride Treatment (duration: 24:42)

Medi-Cal for Kids and Teens

Training objectives:

Early periodic screening, diagnosis and testing (EPSDT) services for members less than 21 years of age.

Webinar resources

• Pre-recorded webinar: Medi-Cal for Kids and Teens (duration: 1:05:49)

Childhood Blood Lead Screening

Training objectives:

Understand the hazards of lead exposure on children and Define the Department of Health Care Services (DHCS) CBLLs screening requirements.

Webinar resources

• Pre-recorded webinar: Childhood Blood Lead Screening (duration: 10:31)

Pediatric Preventative Measures

Training objectives:

Highlights pediatric MCAS overview and best practices.

Webinar resources

• Pre-recorded webinar: Pediatric Preventative Measures (duration: 25:44)

Capitated Encounters

Learning Objectives:

• Capitated Encounter Overview
• Encounter Process
• Encounter Best Practices
• Impact on Directed Payments

Webinar resources

If you have a Relias account with Health Net, take this webinar: 

• Pre-recorded webinar: Capitated Encounters
  (duration: 23:21)

If you do not have a Relias account with Health Net, take this webinar:

• Pre-recorded webinar: Capitated Encounters
  (duration: 23:21)

Addressing Care Disparities Across Preventative and Chronic Conditions

Better understandings of the role of social and cultural drivers in preventative and chronic conditions can improve care access, quality, and health outcomes. Based on findings from barrier analyses, this training addresses the interacting social, cultural, and health determinants or drivers impacting: Hemoglobin A1c Control (A1c)for the adult Hispanic patients; Colorectal Cancer Screening (COL) for African American and Hispanic patients 45+ years of age; and Child and Adolescent Well-Care Visits (WCV) for African American and Hispanic patients (ages 3-17). The training highlights critical clinical encounter factors related to knowledge, language, health beliefs, and social and cultural norms pertaining to A1c, COL, and WCV. It also provides models and strategies for addressing barriers to care in order to help reduce care gap disparities.

Learning objectives:

• Discuss foundational terms, concepts, themes of health disparities and inequities.
• Identify social and economic factors that shape and impact healthcare access and health outcomes.
• Provide culturally appropriate strategies to help increase patient diabetes management, colorectal cancer screening, and well-care visits.

Webinar resources

• Pre-recorded webinar: Addressing Care Disparities Across Preventative and Chronic Conditions
  (duration: 53:19)

Population Health Management: Chronic Condition Disease Series

This training will provide an overview of:

• Disease state/treatment
• Description of disease state
• Prevalence and general statements
• Signs/symptoms and monitoring parameters
• Consequences of disease state/complications
• Treatment (based on guidelines)
• Lifestyle modifications
• Population Health
• Access issues/barriers to care that people with these disease states could experience
• Misinformation regarding the disease states, if any
• Behavioral impacts of disease state.

Webinar resources

• Pre-recorded webinar: Asthma
  (duration: 18:03)
• Pre-recorded webinar: Diabetes
  (duration: 18:35)
• Pre-recorded webinar: Cardiovascular Disease (CVD)
  (duration: 27:54)
• Pre-recorded webinar: Chronic Kidney Disease (CKD)
  (duration: 15:13)
• Pre-recorded webinar: Oncology
  (duration: 15:20)
• Pre-recorded webinar: Chronic Obstructive Pulmonary Disease (COPD)
  (duration: 14:44)

Provider Analytics

Provider Analytics provides real-time reporting and dashboards on cost, utilization and risk adjustment for PPG Providers at the PPG/Satellite and member level detail. It is a web-based platform designed for self-service use in support of Joint Operations Meetings.

Webinar resources

• Provider Analytics – Getting Started (PDF)
• Pre-recorded webinar: Provider Analytics - Total Cost Dashboard
  (duration: 10:07)
• Pre-recorded webinar: Provider Analytics – Risk Adjustment Factor
  (duration: 2:45)
• Pre-recorded webinar: Provider Analytics – Membership and Encounters Dashboard
  (duration: 3:10)
• Pre-recorded webinar: Provider Analytics – Population Health Condition Management
  (duration: 5:47)
• Pre-recorded webinar: Provider Analytics – Dossiers
  (duration: 4:47)

Provider Focus: Population Health Management 

Learn more about our Gathering Member Info (GMI), Understanding Risk, and Providing Services & Supports (PSS) / PHM Programs.

Webinar resources

• Pre-recorded webinar: Provider Focus: Population Health Management
  (duration: 24:42)
• Provider Focus: Population Health Management (PDF)

Monkeypox Vaccine Training

Training objectives:

• Monkeypox overview/description
• Prevalence and general statements
• Signs/symptoms and monitoring parameters
• Consequences of disease state/complications
• Treatment (based on guidelines)
• Lifestyle modifications

Webinar resources

• Pre-recorded webinar: Monkeypox Vaccine Training

Provider-Patient Communication Training

This training can help support medical staff to communicate with patients in a way that makes written and oral information easier to understand using plain language communication and teach back strategies with your patients.

Webinar resources

• Pre-recorded webinar: Provider-Patient Communication
  (duration: 16:37)

2023 Medi-Cal Risk Adjustment Model Changes CDPS + Rx

Learn about model change to Chronic Illness and Disability Payment System (CDPS) + Rx, accurate medical record documentation, and coding that is needed for success.  

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.

The webinar examines:

• Model change overview. Explore the statistical methodology used to compare health risk.
• Leading practices & coding trends. Review examples of coding trends identified during chart reviews. 
• The role of providers. Find out why you and your team have the vital role in risk adjustment.

Webinar resources

• Pre-recorded webinar: 2023 Medi-Cal Risk Adjustment Model Changes CDPS + Rx
  (duration: 21:23)

CMS Risk Adjustment Model Changes v28

The Centers for Medicare & Medicaid Services (CMS) published a Final Rule with the three-year phased approach of the New 2024 Model. This release included, among other items, major changes to the Medicare Advantage (MA) risk adjustment model version 24 (v24) by adding blended proposed risk adjustment MA model version 28 (v28).

The webinar examines:

• Review the latest change from the 2024 Medicare announcement for CMS Hierarchical Condition Categories (HCC) risk adjustment model v28. 
• Share comparison between versions v24 and v28. 
• Review the newly added HCC categories and the ones that will be deleted. 
• Discuss the high level of the most impacted HCC and,
• Learn how correct documentation and coding is important to show the patient's health status.

Webinar resources

• Pre-recorded webinar: CMS Risk Adjustment Model Changes
  (duration: 16:26)

Community Connect – findhelp Training

How to access low to no-cost resources for members

Mission: To connect all people in need and the programs that serve them (with dignity and ease). Learn how to access and refer members to low to no-cost social care resources and services.

Webinar resources

• Pre-recorded webinar: Health Net

What is the Dyadic Services and Family Therapy Benefit?

• A family and caregiver-focused model of care intended to address developmental and behavioral health conditions of children as soon as they are identified.
• This benefit and model promote access to preventive care for children, immunization completion, coordination of care, child social-emotional health and safety, developmentally appropriate parenting, and maternal mental health.
• The dyadic services benefit is designed to support implementation of comprehensive models of dyadic care that work within the pediatric clinic setting to identify and address caregiver and family risk factors for the benefit of the child.

Webinar resources

• Pre-recorded webinar: Dyadic Services 101 (2023)
  (duration: 11:54)

2023 The Initial Health Appointment

This training covers:

• Updates for 2023
• Importance of the Health Information Form (HIF)
• Overview of the Initial Health Appointment (IHA)
• Accessing the New Member List
• Completing the Health Information Form
• Patient Scheduling
• Billing and coding

Webinar resources

• Initial Health Appointment and Staying Health Assessment webinar
  (duration: 13:49)

Public Programs California Children's Services (CCS) Overview and Care Coordination Training

Overview of the CCS program requirements, information on how to refer eligible members, the CCS referral process, examples of CCS-eligible conditions, and services and benefits of coordination.

Review Information to ensure providers can assist in identifying CCS eligible members and support the provider coordination process.

Provide CCS related contact information, references and pertinent resources to support providers.

Webinar resources

• Public Programs California Children's Services (CCS) Overview and Care Coordination Training
  (duration: 18 minutes)

CMS-HCC Risk Adjustment Provider Education - 2023 ICD-10 Updates

About the webinar

Your patients make us who we are. Join us for a discussion focused on hierarchical condition category (HCC) risk adjustment. We'll discuss documentation strategies, telehealth, and why your role in risk adjustment is crucial to the health of our members.

This webinar will examine:

1. Risk Adjustment Overview. Explore the statistical methodology used to compare health risk.
2. Coding & Documentation Best Practices. Increase your ability to provide a clear, concise, and complete description of the patient's condition and visit details.
3. The Role of Providers.
4. 2023 ICD-10-CM Updates. Grow familiar with new guidelines and revisions for 2023.
5. Telehealth for Risk Adjustment. Find out which services are acceptable for risk adjustment. Master key terms and how to properly document telehealth encounters.

Webinar resources

• Pre-recorded webinar – CMS-HCC Risk Adjustment Provider Education
  (duration: 48:01)
• Pre-recorded webinar – Leading Practices for HCC Documentation and Coding
  (duration: 48:51)
• Pre-recorded webinar – HCC Coding and Documentation Trends to Avoid
  (duration: 44:09)
• Pre-recorded webinar – HHS Marketplace Risk Adjustment 101 (CA Risk Adjustment Coding and Documentation)
  (duration: 28:54)

Partnership with Skilled Nursing Facilities

About the webinar

To further CalAIM's goals to standardize and reduce complexity across the state and reduce county-to-county differences, the Department of Health Care Services (DHCS) is implementing Benefit Standardization across managed care plans statewide. Benefit Standardization will help ensure consistency in what benefits are delivered by managed care statewide.

Topics that will be covered:

• Overview
• About Health Net
• LTC Carve-In
• Long Term Care Claims Submission and Payment
• Prior Authorizations and Admissions for Long Term Care
• Transportation services

Webinar resources

Pre-recorded webinar – Partnership with Skilled Nursing Facilities to Support the Long-Term Care Population
(duration: 22:02)

The Consumer Assessment of Healthcare Providers and Systems (CAHPS^®) Survey, a Patient Experience Survey

About the Webinar

• Patients' interactions with their providers and provider office staff directly impact the patients' health care experience and their perception of quality care.
• The CAHPS^® survey is an annual health care experience survey required by the Centers by Medicare & Medicaid Services (CMS) and for the National Committee for Quality Assurance (NCQA) accreditation.
• CAHPS and patient experience are becoming increasingly important in health care. Prepare now by learning how to improve the care experience for all of your patients.

Topics that will be covered:

• Introduction to CAHPS^®
• CAHPS^® Timeline
• Provider-Influenced
• Measures
• CAHPS^® Questions
• Recommendations and Best Practices

Webinar resources

Pre-recorded webinar: Consumer Assessment of Healthcare Providers and Systems (CAHPS^®) Survey
(duration: 38 minutes)

Improving Timely Follow-Up Care After an Emergency Department Visit for Mental Illness or Substance Use

Learning Objectives:

• Describe the importance of timely follow-up care for individuals that have had an emergency department visit for mental illness or substance use diagnoses.
• Identify different ways follow-up care can be administered to support the individual's treatment plan.
• Administer the appropriate standardized screening tools to screen for mental health conditions and substance use disorders.

Topics that will be covered:

• 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)
• Services that support FUM and FUA compliance
• Recommendations and best practices

Webinar resources

• Pre-recorded webinar: Improving Timely Follow-Up Care After an Emergency Department Visit for Mental Illness or Substance Use
  (duration: 37 minutes)
• Improving Timely Follow-Up Care After an Emergency Department Visit for Mental Illness or Substance Use (PDF)

Advancing Outpatient Antibiotic Stewardship

This webinar instructs clinicians on how to improve antibiotic prescribing to prevent harmful side effects and antibiotic resistance.

Speakers from the Centers for Disease Control and Prevention(CDC) and the Los Angeles County Department of Public Health will provide updates on:

• Antibiotic stewardship
• Best practices in antibiotic prescribing
• How to discuss antibiotics with your patients
• How the COVID-19 pandemic has affected antibiotic prescribing.

Webinar resources

Pre-recorded webinar: Advancing Outpatient Antibiotic Stewardship
(duration: 34 minutes)

Provider Webinar: Medi-Cal Rx Prior Authorization Reinstatement

Watch this webinar to learn about Medi-Cal Rx reinstatement of prior authorization for several drug classes. No registration is needed. View a prerecorded webinar if you can’t attend the live version.

Pre-recorded webinar – On-demand
(duration: 13 minutes)

For more information about the reinstatement, visit the Provider Library to access provider updates 22-707m (Health Net) and 22-708m (CalViva Health), Find Out What Changed: Reinstatement of Prior Authorizations for Several Drug Classes Under Medi-Cal Rx, distributed on August 31, 2022.

Consumer Assessment of Healthcare Providers and Systems (CAHPS^®) Survey

Webinar date: October 26, 2022 (PDF)

Facility Site and Medical Record Review Training

California Collaborative Site Review Training workgroup is comprised of 22 Medi-Cal plans in California that have come together to create one comprehensive training to educate Our Primary Care Network providers. This training has been mandated by the Department of Health Care Services (DHCS) as directed through All Plan Letter (APL) 20-006. the updated standards to take affect as soon as the Public Health Emergency defined by Governor Newsom has been lifted for California. These revised Tools and Standards are in response to the growing number of Preventative measures set forth from a multitude of organizations such as the CDC, USPSTF, OSHA, AAP to name a few. 

These trainings comprise of a Facility portion and a Medical Records portion. Our goal is to update these training videos as our industry changes. DHCS has made it their mission to revise these tools about every 2 years to aid in the health of California’s Medi-Cal recipients and provide the highest quality of service.

• Facility Site Review Training
• Medical Record Review Training

HEDIS Improvement Program (HIP)

HIP recognizes and rewards open-panel and participating PCPs and clinics for their improvement in quality outcomes. The improvement measures are derived from the Managed Care Accountability Set (MCAS) from the Department of Health Care Services (DHCS).

Clinic HEDIS Improvement Program (C-HIP)

CHIP recognizes and rewards open-panel and participating primary care clinics for their improvement in quality outcomes. The improvement measures are derived from the Managed Care Accountability Set (MCAS) from the Department of Health Care Services (DHCS).

HEDIS Quality Improvement Program (HQIP)

HEDIS Quality Improvement Program (HQIP) for eligible participating physician groups (PPGs) in Medi-Cal network recognizes PPGs for their improvement in quality outcomes.

Webinar Recordings

• 2024 C-HIP Training – Clinic-HEDIS^® Incentive Program
• 2024 HIP Training – HEDIS^® Incentive Program (HIP) Individual Primary Care Practices (PCPs)

C-HIP Incentive Program

• Earn 2024 Incentives With C-HIP – Medi-Cal (PDF)
• Earn 2024 Incentives With C-HIP – CalViva Health (PDF)
• Earn 2024 Incentives With C-HIP – Community Health Plan of Imperial Valley (PDF)

eConsult Services

This webinar shares the quick and convenient ways that PCPs use eConsults, a no-cost specialty care resource that Health Net, California Health & Wellness and CalViva offer to providers serving Medi-Cal and Commercial members. Learn about eConsults, which are digital dialogues between PCPs and CA-licensed specialists to provide rapid support to the PCP. Our eConsult Provider, ConferMED, uses native referral workflows and has a network of 30+ adult and pediatric specialties available to share expertise to enhance member care.

• eConsult Services webinar
• eConsult Services – No-Cost, Direct and Easy Access to Specialty Care Expertise – Health Net – English (PDF)
• eConsult Services – No-Cost, Direct and Easy Access to Specialty Care Expertise – CalViva Health – English (PDF)

Advancing Equity: Health Care Barriers for Gender-Diverse Populations

Who should attend webinar?

All providers and their staff

Webinar topics

• Legal background: A brief overview and understanding of LGBTQ+ rights and protections that will help frame the health care barriers faced by the LGBTQ+ community.
• Health disparities: The learning objective is to provide an overview of barriers to accessing adequate and competent health care for the LGBTQ+ community and the subsequent health disparities that manifest, from the perspective of a local medical professional that actively serves the LGBTQ+ community.
• Lived experiences: A leader in the San Diego LGBTQ+ community will share valuable stories from her experiences working with the LGBTQ+ community and provide examples to help understand how to spot discrimination, both implicit and explicit, that may manifest in a transgender person's daily life.

• About this webinar, please email: Cultural.and.Linguistic.Services@healthnet.com
• About registering for the webinar, please email: PartnersInPerformance@healthnet.com

Learn About the Transition to Medi-Cal Rx

Who should view the webinar

All Medi-Cal providers and their staff.

About the webinar

The Medi-Cal Rx 101 webinar reviews the transition, provider portal information, prior authorizations, the contract drug list and more. Magellan hosted the webinars.

Recorded webinars

• November 15, 2021 webinar recording
• November 18, 2021 webinar recording

For questions about this webinar, please email: provider_services@healthnet.com

One Provider Portal for All Your Needs!

When we're making the change and why

We are migrating post-login content from provider.healthnet.com to provider.healthnetcalifornia.com. You now have access to one secure post-login platform with easy-to-use tools to manage the health of your patients. This change also enables us to make improvements more quickly and help you do business more efficiently.

What's not changing?

Provider.healthnet.com is still your main pre-login portal to access important information and functions, without having to log in to your account, including:

• Claims submissions.
• Pharmacy coverage, such as drug lists and prior authorizations.
• Webinar calendars.

What's changing?

Your post-login content is migrating from provider.healthnet.com to provider.healthnetcalifornia.com. The new improved portal provides:

• Simplified views of various screens, options and functions.
• Easy-to-follow registration process with a progress indicator.
• Quick access to member eligibility check and overview of recent claims activity.
• Medical policies.
• General FAQs on topics such as encounters, member benefits and eligibility.
• Authorization views with multiple functions, such as filtering and obtaining additional details when needed.
• Claims views and submission functions, such as ability to submit individual or batch claims.
• Documents Resource Center that allows providers to attach.

Webinars

Overview of the Provider Portal

Demonstration of the provider portal and what to expect.
Watch recording: Deep Dive into Patient Information

Deep Dive into Authorizations

Training on the self-service tools and what to expect.
Watch recording: Deep Dive into Authorizations

Deep Dive into Claims

Training on the self-service tools and what to expect.
Watch recording: Deep Dive into Claims

Deep Dive into Patient Information

Training on the self-service tools and what to expect.
Watch recording: Deep Dive into Patient Information

Resources

Save time navigating the Provider Portal (PDF)

For questions, please email Partners In Performance.

COZEVA^® 101 webinars

Who should attend?

All providers and staff that lead quality improvement efforts at the practice are welcome to attend the COZEVA^® webinars. Webinars will review the core functionalities of the platform and various workflows that support performance improvement. (*Exclusion – Providers currently using another endorsed product from Health Net or California Health & Wellness Plan, such as Interpreta.).

About the webinar:

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. To learn more about COZEVA^®, use this information flyer for PCPs and use this information flyer for PPGs.

When

Webinars are held every week on alternating Wednesdays and Fridays.

Register for COZEVA^® webinar

Watch recording: COZEVA^® 101

For questions, please email Partners In Performance.