CPCA Medi-Cal Health Navigator Questionnaire

The California Primary Care Association (CPCA) is launching a CPCA Medi-Cal Health Enrollment Navigators Project (Navigators Project) alongside the Department of Health Care Services (DHCS) that will award $17.75 million to subcontractors for work completed between December 1, 2023 and June 30, 2025. The funding is dedicated to community health centers (CHCs) and consortia that will assist with Medi-Cal outreach, enrollment, outreach, renewal, utilization, and troubleshooting efforts across California, hereby referred to as “navigation services.”


Our goal is to identify where allocations of funds for these Medi-Cal efforts are needed and where the funding would best be utilized for activities addressing the efforts described. The application is divided into two parts:

1.    PART I: Identify your interest and need for new funding for the Navigators Project, along with your most recent annual financial audit.

2.    PART II: Submit a proposed narrative, work plan, and budget.


IMPORTANT NOTES:

The deadline to complete part one of the application is 5:00 P.M. PST on 09/26/23.

  • All community health centers and consortia are eligible for this funding, regardless of whether they have previously received funding from the DHCS Medi-Cal Health Navigator Project (AB 74 and SB 154 funding).
  • Only organizations who complete part one of the application will be invited to submit part two of the application for consideration.
  • When feasible, applications from CHCs who are members of a consortium and applied independently as an organization will be combined into a consortia application. Awards will be administered by consortia.
  • Your individual responses may be shared with your consortium to determine if a regional application can be developed.
  • Final applications (Part I and Part II) will be shared with DHCS for funding approval. Overall responses will be summarized and used for reporting purposes.
  • Applicants may be asked to modify their requests (by scaling up or down) based on available funds and regional need.


Please take your time and answer each question as completely as possible. Please note that you cannot save a draft of this form/questionnaire - the entirety of it must be completed in one sitting in order to submit. We recommend saving this page as a PDF so you have the questions, and completing the form when you have gathered all of your answers. We look forward to receiving your response and collaborating with you on this important effort.


FOR CONSORTIA APPLICANTS: Please use this excel template to collect subcontractor data. This will need to be uploaded as part of your Part 1 Application.


Contact HealthNavigators@cpca.org with any questions, comments, or concerns. In addition, review the CPCA Medi-Cal Health Navigators Project webpage for more information.

Applicant Information

format ex: Sacramento, CA 95814

Phone

Applicant Contact Information

Is the person completing this survey the individual who would be responsible for providing oversight and management of the project?*

Please include the following:

  • Name
  • Organization
  • Email Address
  • Phone Number

Applicant Interest

Select
Caret IconCaret symbol

If you are a consortium, please use excel template provided at the start of this application to complete this question.

Please indicate your organization's participation with the Department of Health Care Services (DHCS) Medi-Cal Health Navigator Project (AB 74 and SB 154 funding).*
For organizations that did not participate, or their allocation agreement for the project lapsed, does your organization currently engage in navigation efforts?

Only answer “Yes” if your organization has navigator staff that provide direct navigator services. If your organization contracts with organizations that have navigator services, but does not directly employ navigators (aka Outreach and Enrollment staff, etc.), answer “No.”

If you are a consortia, please use excel template provided at the start of this application to complete this question.

If you are a consortia, please use excel template provided at the start of this application to complete this question.

If you are a consortia, please use excel template provided at the start of this application to complete this question.

Applicant Experience

Does your organization or your proposed subcontracted CHCs have staff who are experienced with both enrolling and retaining individuals for Medi-Cal?*

If you are a consortia, please use excel template provided at the start of this application to complete this question.

CPCA considers established working relationships as having regular meetings, data sharing agreements/arrangements, etc. If you do not have established relationships, please put NA.

Are you or your subcontractors currently receiving any other funding to do outreach and enrollment work?*
Do you have a grants management policy in place?*

Applicant Project Proposal

CPCA anticipates awards of up to $300,000 per CHC based on total funding available.

Would you be able to scale this project if full funding was not available?*

Please check all that apply.

Navigators Project Reports Submission*

If your organization is chosen as a recipient for the Navigators Project funding, your organization will be required to submit monthly and quarterly data reports (i.e., individuals enrolled, retained, application, redetermination assistance, etc.) and narrative reports that provide an update on project efforts that assess the overall effectiveness of your work efforts. See application guide for full list to data.


Will you be able to provide the required reports?

Please upload the following:

  • most current financial audit
  • If applicable, Single Audit with auditor notes and disclosures
  • If applicable, Schedule of Expenditures for Federal Awards (SEFA)
  • FOR CONSORTIA, upload your completed excel template
Drag and drop files here or

Check the box to attest that the statements herein are true and complete to the best of the applicant’s knowledge. The applicant must also attest they understand that knowingly submitting false information will void this application and be considered breach of contract.


After reviewing applications, CPCA may consider combining your proposal with others in your region as part of a broader regional approach to this work. In doing so, CPCA may share some information from your application with the consortia of which you are a member (name of organization, requested funding amount, proposed activities). If you do not want to be included in a broader regional approach, or do not wish to have your information shared with your consortia, please click below.

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