Medi‑Cal Managed Care for Kids & Teens provider training

The CA Department of Health Care Services (DHCS) released All‑Plan Letter (APL) 23‑005, Requirements for Coverage of Early and Periodic Screening, Diagnostic, and Treatment Services for Medi‑Cal Members Under the Age of 21, that introduces the new name for EPSDT services in California, L.A. Care for Kids & Teens. Along with the new name, there are some new requirements for all providers who care for this population of members.

Beginning in 2024, it was determined that all providers who care for this population must complete the DHCS required training on MediCal for Kids & Teens at least every two years. The goal of the training is to strengthen understanding and awareness of and increase access to these services for L.A. Care members under age 21 years.

This comprehensive training covers preventive EPSDT services, references the American Academy of Pediatrics Bright Futures Periodicity Schedule, defines medical necessity for this population, and highlights behavioral health services, California Children’s Services (CCS) program, and skilled nursing services.

Anthem offers the training on our provider webpage and requires an attestation that the training was completed and understood. The eLearning training is available through the health plan’s Provider Training Academy in the Provider Pathways link. If you have already registered for Provider Pathways, enter your username and password to access the training.

Provider Training Academy | California Provider

Providers must register to access the Provider Pathways training. To register, select the Register Now link in the Provider Training Academy and enter the requested information. The NPI field is required and can be an individual, group, or clinic‑level NPI, or you can enter a zero followed by your Medicaid identification number or nine digits.

DHCS allows Managed Care Plans (MCPs) that share providers in a county to share their training attestation data to reduce duplicative provider trainings. When providers log in to the Anthem training, they have the option to complete an attestation form that indicates they have completed the training from another MCP in California. Providers who have not completed the training will be directed to the presentation. Following completion of the training, an Anthem attestation will need to be filled out that can then be shared with other MCPs.