UCSD PFS Newsletter and Updates

Information Forum

FEBRUARY 2014 VOLUME 1

HEALTH CARE UPDATES

COVERED CALIFORNIA AND THE AFFORDABLE CARE ACT

The Affordable Care Act is a Federal Program that is managed by each state. In California, the program is referred to as Covered California. These commercial insurance plans are offered to eligible Californians as a part of the Affordable Care Act implementation.


https://www.coveredca.com/

WHAT DOES IT COVER?

Starting in 2014, all health insurance plans will share some common characteristics. The federal Patient Protection and Affordable Care Act (Affordable Care Act) now requires that all health plans offered in the individual and small-group markets must provide a comprehensive package of items and services, known as essential health benefits. These benefits fit into the following 10 categories:

  • ambulatory patient services
  • emergency services
  • hospitalization
  • maternity and newborn care
  • mental health and substance use disorder services, including behavioral health treatment
  • prescription drugs
  • rehabilitative and habilitative services and devices
  • laboratory services
  • preventive and wellness services and chronic disease management
  • pediatric services, including dental and vision care

COVERED CALIFORNIA and UCSD

In the county of San Diego there are five participating health plans. UCSD is contracted with two plans. These plans are Anthem Blue Cross all four major plans and HealthNet Bronze only. Open enrollment for these plans began October 1, 2013 and will end March 31, 2014. There are four major levels of coverage which are bronze, silver, gold and platinum. These coverage's do not account for Catastrophic Plans.

EPIC UPDATES

EPIC DOCUMENTS ON THE iSHARE

There are two new folders added under the Job Aids link on the PFS iShare.


The first is titled "EPIC Tips" where you will be able to find quick reference tips on how to do things in EPIC like coverage changes, manual adjustments, find NDC numbers, documenting accounts and much more!


The second folder is titled "EPIC Workbooks" here is where you will find ALL the workbooks that are used for training.


Both folders will be complete and ready for use by Monday 2/17

PFS TRAINING DOCKET FOR FEBRUARY 2014

  • 2/10 Medi-Cal Adjustment Training
  • 2/14 Medicare/Medi-Cal Team Follow Up Refresher Training
  • 2/18 Commercial Team Adjustment Training
  • 2/24 All Staff HIPAA Yearly Refresher 2014