Cal MediConnect Physician FAQs What You Need to Know About Keeping Your Patients and Billing for the Dual-Eligible Population By the California Medical Association In an effort to save money and better coordinate care for the state’s low-income seniors and persons with disabilities, the 2012 California state budget authorized a three-year demonstration project, the Coordinated Care Initiative (CCI). The Centers for Medicare and Medicaid Services (CMS) approved the memorandum of understanding (MOU) between the State of California and CMS on March 27, 2013. CCI contains two main components: Cal MediConnect, which transitions ... November 21, 2014 Cal MediConnect Cal MediConnect, Dual Eligibles, Medi-Medi's 0 0 Comment Read More »
Duals Demonstration Passive Enrollment Has Begun [ SDCMS MEMBERS & STAFF: CLICK HERE TO WATCH OUR MAY 1 SEMINAR "CAL MEDICONNECT: WHAT YOU NEED TO KNOW" ] Passive enrollment for the Medicare / Medi-Cal duals demonstration began on May 1 in San Diego, Riverside, and San Bernardino counties. If patients do nothing, they will automatically be enrolled with a managed care plan for their Medicare and Medi-Cal benefits. Affected patients have been notified by the California Department of Health Care Services 90, 60, and 30 days prior to their passive enrollment date. Patients do, however, have the ... May 2, 2014 Cal MediConnect Dual Eligibles 0 0 Comment Read More »
Coordinated Care Initiative (Duals Project) Update By the California Medical Association Background The 2012 budget authorized the Coordinated Care Initiative (CCI), which would allow persons eligible for both Medicare and Medi-Cal (dual eligibles) to receive medical, behavioral, long-term supports and services (LTSS), and home- and community-based services coordinated through a single health plan in eight counties (Alameda, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara). CCI contains two main components: 1) Cal MediConnect-transitioning individuals who are eligible for both Medi-Cal and Medicare (duals) away from fee for service and into managed care; ... April 9, 2014 Cal MediConnect Cal MediConnect, Coordinated Care Initiative, Dual Eligibles 0 0 Comment Read More »
Healthcare Changes Are Coming for Dually Eligible Medi-Cal and Medicare Patients! Effective April 1, 2014, the California Department of Health Care Services (DHCS) and the Centers for Medicare and Medicaid Services (CMS) will be rolling out Cal MediConnect, a new program to coordinate care for some of San Diego’s most vulnerable patients. Cal MediConnect, a three-year demonstration project for patients dually eligible for Medicare and Medi-Cal, is part of the California Coordinated Care Initiative (CCI). This demonstration project will give participating health plans responsibility to coordinate Medi-Cal, Medicare, and long-term services and supports previously offered by the State and through the County ... March 25, 2014 Cal MediConnect Cal MediConnect, Dual Eligibles 0 0 Comment Read More »