Special SDCMS "News You Can Use" (2012.05.07)
Special SDCMS "News You Can Use"
— May 7, 2012
California is seeking approval from the Centers for Medicare and Medicaid Services (CMS) to shift “dual eligibles” (persons with Medicare and Medi-Cal coverage) into Medicare and Medi-Cal managed care plans in four counties — including San Diego — on January 1, 2013.
If you or your patients would be affected by this major change in policy, please take the survey below on the plan to move all Medicare / Medi-Cal patients into managed care plans.
CLICK HERE TO TAKE THE SURVEY NOW — Must Be Completed No Later Than 5:00pm on Friday, May 18, 2012
Background:
- On June 1, 2011, California began its transition of seniors and persons with disabilities from Medi-Cal fee-for-service into managed care plans, and will continue over the next several years until complete. Almost immediately, CMA began receiving a wide range of complaints and reports of serious problems involving disruption of patient care.
- While CMA has continued to work with the Department of Health Care Services to address those issues, California is once again seeking authority to enroll (automatically, if recipients do not actively enroll or opt out within the required timeframe) “dual eligibles” into Medicare and Medi-Cal managed care plans.
- If the state plan — click here for more information — is approved by CMS, patients will begin receiving enrollment notices October 1, 2012, through November 31, 2012.
CMA and SDCMS are collecting data on the extent of potential or past problems / issues physicians and their patients have experienced with this proposal.
Your participation in this survey is crucial! The information you provide will be reflected in CMA’s response to the state’s proposal and will help us better advocate for solutions.
Additional Information: