Health plan benefits for transgender individuals
If you or a loved one are transgender, please read the update below about coverage for transgender-related care.
You may have heard about a new regulatory directive issued to California health plans by the California Department of Managed Health Care (DMHC) on April 9, 2013. The directive requires health plans with benefits that are regulated by the DMHC to provide transgender individuals with the same benefits that are available to non-transgender individuals.*
We want you to know that Kaiser Permanente’s health plans regulated by the DMHC now include coverage for medically necessary health care services for transgender individuals including, for example, behavioral health services, hormone therapy, and transgender surgery. General exclusions and limitations that apply to all services also apply to transgender services.
Some of our health plans were previously permitted to exclude coverage for transgender surgery. We are no longer applying that exclusion in our DMHC-regulated health plans. If you’re enrolled in one of those health plans, this means that you now have transgender surgery benefits even if your current Evidence of Coverage document lists transgender surgery as an exclusion. Also, for our DMHC-regulated health plans that previously covered transgender surgery and included a lifetime dollar limit on the surgery benefits, as of April 9, 2013, we are no longer applying those dollar limits.
For more information about these benefits, please contact our Member Service Contact Center at1-800-464-4000 (toll free). Learn more about transgender issues in our health encyclopedia.
Our Medi-Cal plans, KPIC insurance plans, and Kaiser Permanente employee benefit plans also include coverage for these services. Medicare and Federal Employees Health Benefits (FEHB) plans, and most employer self-funded plans administered by Kaiser Permanente, do not include coverage for transgender surgery. Beginning January 1, 2014, FEHB plans will provide coverage for transgender surgery.
The Substance Abuse of Long Beach, Inc. (SAF) would like to announce that we currently accepting referrals for our new program “Project WeHo”, Project WeHo is funding by the City of West Hollywood to offer Residential Drug and Alcohol Treatment for the LBGT community members of West Hollywood.
The goal of the program is to increase access to substance abuse and co-occurring mental health treatment, HIV/AIDS services, including testing, access to treatment, education, and prevention, and recovery support services for homeless and economically disadvantaged Lesbian, Gay, Bisexual and Transgender (LGBT) West Hollywood community members, ages 18 and older, who have a substance use disorder, or co-occurring substance use and mental disorders, and are living with or at risk for HIV/AIDS.
The LGBT West Hollywood community member is defined as a resident, a person who works in the City, a person who attends school in the City, a property owner, or a person who is homeless who spends the majority of the time in the City.
I have attached a flyer with contact information please share this information with the public, prospective clients, peers, colleagues, case managers, and other interested parties.
Arthur D. Romo
Marketing Director/Community Outreach
Substance Abuse Foundation of Long Beach, Inc
General Tel: (562) 987-5722 ext 230
General Office Fax: (562) 987-4586
Dial Direct (562) 216-6777
Applications emailed to:
Frances Marion, LCSW | firstname.lastname@example.org
Position: Psychosocial Case Manager
Program: Health and Mental Health Services
Reports to: Psychosocial Case Manager Supervisor
Probation: 90 days – Non-exempt Hourly Union
Benefits: Medical, Vision, Dental, and Life Insurance; also including Long Term Disability, an Employee Assistance program, and a 403B retirement plan.
Under the supervision of the Psychosocial Case Manager Supervisor, the Psychosocial Case Manager serves as an integral member of the health and mental health services team by providing psychosocial case management and overall support services to patients while ensuring that psychosocial case management services operate within industry standards and meets all contractual requirements and guidelines.
- Provide benefits/social services;
- Develop comprehensive benefits/social services plans for clients, providing support & guidance to client in the implementation of services plans;
- Prepare and submit monthly transportations reports to OAPP Transportation Unit;
- Prepares and coordinates paperwork for public and private disability programs;
- Acts as a liaison between the clinic and Department of Public Social Services for Medi-Cal Applications;
- Maintains an active case load with clients requiring on-going case management services and maintains complete and accurate files on all clients and document services provided;
- Provide appropriate information and referrals while serving as an advocate;
- Network with other community agencies and organizations in order to establish referral linkages;
- Assists in developing and researching resources for case management clients;
- Attends and participates in weekly staff meetings, case conferences and other meetings as assigned;
- Act as a liaison between the clinic and Department of Mental Health Housing and Homeless Division;
- Present clients in weekly case conferences;
- Makes appropriate referrals to ancillary team members, e.g., nutritionist, nursing case management, etc.
- Keeps Psychosocial Case Manager Supervisor informed on all patient information, or concerns;
- Provides referrals for a housing match based on clients’ psychiatric condition, social support network, substance abuse issues, and readiness for independent living;
- Documents all services provided and maintains client files and program statistics as required by Agency, contract, and or other related agencies;
- Provides best match housing placement and assists client with interviewing for housing placement;
- Interfaces with Department of Rehabilitation and other related community agencies relative to housing for clients;
- Gathers/maintains available information and prepares routine reports related to housing placement activity including client placement, successes and challenges to determine trends within the housing market and ensure long term placement for clients;
- Consults with staff on service coordination and service plans for clients referred to ICM program;
- Stats current on housing market activity to identify trends and prospective openings;
- Keeps the ICM program staff apprised of new housing opportunities;
- Maintains accurate, complete documentation of services provided to clients, ensures compliance with Agency policies and procedures, state licensing, on other regulatory agencies, prepares a variety of reports on housing placement activity for program, division, and Agency;
- Develops and maintains housing placement skills through seminars, workshops, or other forms of training/education;
- Other duties as assigned.
JOB QUALIFICATIONS AND EXPERIENCE:
- At least 3 year experience providing direct client case management services, preferably within a clinic setting;
- Comprehensive knowledge of HIV/AIDS community resources, public and private HIV/AIDS benefits programs;
- Understanding of the global effect of HIV/AIDS on the person, their family members and significant others;
- Have a working knowledge of the housing market, DMH programs, and placement of individuals that meet the DMH criteria for placement services.
- Ability to handle multiple tasks, be detail oriented, and maintain strict confidentiality of medical information;
- Bilingual (Spanish/English) preferred;
- Superior verbal and written communication skills, including strong organizational, detail and interpersonal skills;
- Good computer skills and knowledge including word processing, database operations, spreadsheets (Microsoft Excel), and other software systems;
- Ability to work effectively with men & women of diverse races, gender identities, ethnicities, ages, & sexual orientations in a multicultural environment.
TRAINING, EDUCATION, AND LICENSURE:
- B.A. degree in social work, psychology, sociology or a related field is preferred;
- Current AHA CPR certification.
ONE DAY ONLY! Friday, November 15, 2013
Register Early – We Expect This Event to Sell Out
Professional Psych Seminars Presents One of the founders of Cognitive Therapy. Voted one of the ten most influential psychotherapists of the 20th century
Donald Meichenbaum, Ph.D
Understanding Interpersonal Violence and Suicide:
Treatment and Preventative Approaches
168 S. Los Robles Avenue,
Pasadena, CA 91101
November 15, 2013 9:00 am – 4:00 pm
This presentation will examine how interpersonal aggressive behavior and suicidal behaviors develop and the implications for both prevention and treatment approaches. Various intervention approaches will be critiqued, differentiating between those programs that “work” versus those programs that inadvertently increase the level of aggression. How to assess the risk potential and predict intimate partner violence and suicidality will be highlighted. The controversy concerning evidence-based interventions such as Cognitive Behavior Therapy for depressed clients will be considered. How to implement the Core Tasks of Psychotherapy with depressed and suicidal adolescents and adults will be demonstrated. Detailed handouts will be provided that enumerate specific assessment and psychotherapeutic interventions.
List three risk factors that contribute to the development of aggressive behaviors toward others
- Enumerate three specific ways that trainers can enhance the generalizability of treatment effects with aggressive individuals
- Specify three risk factors for assessing suicidal potential in depressed clients
- Describe three specific evidence-based intervention procedures that can be used with depressed and suicidal clients
Continuing Education Credit: Participants will receive 6.0 CE credits. Professional Psych Seminars is an approved provider for psychologists (APA ), LMFTs, LCSWs, LEPs and LPCCs, Drug and Alcohol Counselors (CFAAP/CAADAC), certified counselors (NBCC), nurses (BRN), and social workers (ASWB). Please see our website at http://www.psychsem.com for complete information on continuing education.
Questions and Information:
Here is your monthly reminder that the next HIV Mental Health Task Force will be meeting on Wednesday, October 9th. The agenda is here: