In an effort to continue our dialogue with stakeholders about the implementation of the Coordinated Care Initiative, the Department of Health Care Services has scheduled the next monthly stakeholder update call for October 21, 2014.
The upcoming call will cover January CCI enrollment and new funding for the Cal MediConnect Ombudsman program. We’re also hoping to hear questions and feedback from stakeholders on how implementation of the CCI is going in their local counties.
Below, find information about the call along with a registration link.
- Date: Tuesday, October 21st
- Time: 1:00 pm – 2:00 pm
- Registration: Click here to register
- Materials: January enrollment FAQ | Ombudsman funding information
DHCS appreciates stakeholder interest and engagement as we work on this important initiative. Please send questions and/or comments to info@calduals.org.
EDIT October 30, 2014;
Listen to a recording of this webinar on the Recordings page. (In the future, find this page from the red bar –> Implementation –> Stakeholder Process –> Stakeholder Update Recordings.)
I’ve made four complaints to lawyers who cover calls for the Ombudsman program and nothing has changed. Recently, two patients of mine who opted out of the Cal MediConnect program were enrolled anyway into an HMO on the Medicare side. It really is unreal. Such a shame that the elderly are being treated like this.
I’ve made four complaints to lawyers who cover calls for the Ombudsman program and nothing has changed. Recently, two patients of mine who opted out of the Cal MediConnect program were enrolled anyway into an HMO on the Medicare side. It really is unreal. Such a shame that the elderly are being treated like this.
If Medi-MediCal patients already have care within a clinic setting that is already taking care of all of their needs,then it makes no sense to pull them out of a system that is working for them and enroll them into this program that they don’t need. If you are dealing with patients who are otherwise not getting the coordination of care that they need, it makes some sense.
Your comment is very true. But, I am a Medi-Medi, and left Kaiser because they refused to supply a very important treatment need, for 6 years. They said it was ‘too expensive.’ I decided not to join health plan because the manuals from M & M reported the covered service. But as a no-plan person, the benefits may be there for us, but after 3 months I have yet to find a doctor or psychiatrist.
Why is this process so difficult? Or am I the problem?
I cannot wait for Cal MediConnect to come to Sacramento County if it covers all our needs. I’m 70 and cannot wait too much longer…..
If Medi-MediCal patients already have care within a clinic setting that is already taking care of all of their needs,then it makes no sense to pull them out of a system that is working for them and enroll them into this program that they don’t need. If you are dealing with patients who are otherwise not getting the coordination of care that they need, it makes some sense.
Your comment is very true. But, I am a Medi-Medi, and left Kaiser because they refused to supply a very important treatment need, for 6 years. They said it was ‘too expensive.’ I decided not to join health plan because the manuals from M & M reported the covered service. But as a no-plan person, the benefits may be there for us, but after 3 months I have yet to find a doctor or psychiatrist.
Why is this process so difficult? Or am I the problem?
I cannot wait for Cal MediConnect to come to Sacramento County if it covers all our needs. I’m 70 and cannot wait too much longer…..
Dr. Catlin,
This is all about money and everyone knows it. The State has decided to create a program out of Obamacare so either they, the HMOs or both benefit financially. This has nothing to do with a coordination of care. It sickens me what is happening to the elderly, mentally ill and others. Passive enrollment is illegal and unethical and I will believe this statement until the day I die!
Dr. Catlin,
This is all about money and everyone knows it. The State has decided to create a program out of Obamacare so either they, the HMOs or both benefit financially. This has nothing to do with a coordination of care. It sickens me what is happening to the elderly, mentally ill and others. Passive enrollment is illegal and unethical and I will believe this statement until the day I die!
I don’t tell doctors I have Medicaid because they refuse to make any appointment.
The few doctors, that do take Contra Costa Health plan under the Community Provider Network refuse to provide me my medical records or allow me to view them. I had to file a complaint with the Health & Human Services Office of Civil Rights #13-15890 because of inability to get a full copy of my medical records and after viewing my past medical records I discovered Integrated Pain Management of Walnut Creek since 2008 was using an EHR software program that was writing false medical records. I have been their patient since 1998 yet only received a couple of years of records. Was forced to file a FOIA request to Medicare as this and all Medicare providers I have seen have NEVER SENT ANY BILL TO ME to verify what services were billed and whether I had received those services. I discovered incorrect doctor billings for office visits with the wrong doctors, wrong medical symptoms, wrong diagnostic codes and outright FRAUDULENT MEDICAL RECORDS. This Medicaid/Medicare provider has failed to reply to a single certified letter signed receipt about all the incorrect medical records or the billing they had incorrectly done. False medical symptoms and codes used to obtain payment from Medicare/Medicaid. After I notified them of my discoveries asking for a meeting and viewing of all my medical records instead they started to retaliate against me for requesting my medical records be amended. This medical group as my PCP at Contra Costa Regional Medical Center Martinez family clinic since 2001 failed to diagnose my Severe Obstructive Sleep apnea until “I” demanded a sleep test in Oct. 2010. I had thought they would provide “coordinated care” but they were incompetent and never ordered the sleep test as my medical records have written the test was recommended in 2001, 2005 and March 2010 but my doctors NEVER WROTE THE ORDER OR discussed the need with the patient. Thank God one doctor “did discuss” the test so when it had not taken place I demanded why! The organ and brain damage has already occurred. Are they going to pay now for all the damages for failing to provide medical care to me. Another Ear, Nose & Throat specialist I consulted after I got a second opinion as the first test was not correctly diagnosed and absolutely no improvement with a useless bi-pap machine ordered by one of their recommended sleep centers. My 6th primary care doctor was competent and he finally wrote referrals to specialists that I had needed to see for a decade. The Ear, Nose & Throat specialist who did a complete consultation informed me only a tracheotomy surgery would help my Severe Obstructive Sleep apnea because of severe anatomy problems he found. He was sent a surgery confirmation letter with carbons to Contra Costa Health plan and all my doctors and In Home Support Services. At the top of all my letters I informed them when and how to contact me due to my severe disability which must be after 1 p.m. Not a single agency or person was able to ‘READ” OR CONTACT ME. I received no services and no medical care. Instead Contra Costa Health Plan changed my last name and then blamed the state of California for providing them the false last name which I have “never” had on a single government document. My last name has always been Pay. 4 useless bi-pap machines has failed within 6 months yet the DME failed to replace the machines until I was forced to contact the manufacturers headquarters and they told me to demand another machine. I will not replace the 4th broken machine. The DME refuses to speak to me because they are no longer with Medicare. They and my first sleep specialist Dr. Ka Lin Cheung violated Medicare rules by not re-evaluating the failure of the bi-pap to help my severe obstructive sleep apnea and I was forced to get a second opinion because this doctor would NOT REQUEST ANOTHER SLEEP TEST. This was when I learned the first test had never diagnosed any oxygen pressures for ANY CPAP to be of any help. He would not write that diagnosis as it would criticize another doctor. He only spoke the diagnosis. Luckily I voice record all my office visits to transfer to written records for my own backup to verify my medical records are correctly written from discussions with my doctors. I had to notify Medicare the medical records that they had been sent were incorrect. The GAO report to Congress about EHR software that doctors are using has no laws to regulate and because of this massive fraud is happening that I discovered. As I was a computer programmer who studied EDP auditing in college. The State doesn’t care about doctors who write incorrect medical records as the California Medical Board failed to contact me after I notified them as to masses of documentation to provide them and voice recordings of over 10 years. I ALWAYS TELL MY DOCTORS THE TRUTH AND PROVIDE A MASS OF medical info SO THEY CAN BE THE BEST DOCTORS THEY CAN BE. Sadly, they do not talk to the patient anymore and only type. When you inform them a mistake occurred on your medical record they become argumentative and retaliate against you.
I may be extremely ill but I will not stop talking about doctors who do not write accurate medical records that harm their patients then cover up their negligence.
The Ear, Nose & Throat specialist had no medical file when I returned for his recommended tracheotomy surgery. Instead he would only suggest a turbinate surgery without fixing my severely deviated nose septum that he failed to keep records about. He had no medical record for my previous office visit and discarded all my sleep studies I had left with him to write the report for the tracheotomy surgery to Contra Costa Health Plan with coordination with In Home Support Services. None of these agencies could coordinate themselves out of a “bag” or a corner if they walked into one.
They are Killing people and they don’t care. All this was communicated to State agencies and they never investigated anything. Congressman George Miller who was my rep also provided Contra Costa Health agency my complaint for an investigation and Alice Levy never called but once and dropped the entire investigation. I had an appt. with my 4th sleep specialist to get surgery and he did not have the time to provide as I also need a PCP because mine had left the program due to low re-imbursement rates. You cannot blame competent medical doctors for leaving if they are not paid what they are worth. Only mostly incompetent doctors who spend as little time as they can will accept or care for a patient. They fail to write correct full medical records which WILL KILL THE PATIENT WITH MASSIVE MISTAKES OCCURRING WHICH ARE COVERED UP!
I don’t tell doctors I have Medicaid because they refuse to make any appointment.
The few doctors, that do take Contra Costa Health plan under the Community Provider Network refuse to provide me my medical records or allow me to view them. I had to file a complaint with the Health & Human Services Office of Civil Rights #13-15890 because of inability to get a full copy of my medical records and after viewing my past medical records I discovered Integrated Pain Management of Walnut Creek since 2008 was using an EHR software program that was writing false medical records. I have been their patient since 1998 yet only received a couple of years of records. Was forced to file a FOIA request to Medicare as this and all Medicare providers I have seen have NEVER SENT ANY BILL TO ME to verify what services were billed and whether I had received those services. I discovered incorrect doctor billings for office visits with the wrong doctors, wrong medical symptoms, wrong diagnostic codes and outright FRAUDULENT MEDICAL RECORDS. This Medicaid/Medicare provider has failed to reply to a single certified letter signed receipt about all the incorrect medical records or the billing they had incorrectly done. False medical symptoms and codes used to obtain payment from Medicare/Medicaid. After I notified them of my discoveries asking for a meeting and viewing of all my medical records instead they started to retaliate against me for requesting my medical records be amended. This medical group as my PCP at Contra Costa Regional Medical Center Martinez family clinic since 2001 failed to diagnose my Severe Obstructive Sleep apnea until “I” demanded a sleep test in Oct. 2010. I had thought they would provide “coordinated care” but they were incompetent and never ordered the sleep test as my medical records have written the test was recommended in 2001, 2005 and March 2010 but my doctors NEVER WROTE THE ORDER OR discussed the need with the patient. Thank God one doctor “did discuss” the test so when it had not taken place I demanded why! The organ and brain damage has already occurred. Are they going to pay now for all the damages for failing to provide medical care to me. Another Ear, Nose & Throat specialist I consulted after I got a second opinion as the first test was not correctly diagnosed and absolutely no improvement with a useless bi-pap machine ordered by one of their recommended sleep centers. My 6th primary care doctor was competent and he finally wrote referrals to specialists that I had needed to see for a decade. The Ear, Nose & Throat specialist who did a complete consultation informed me only a tracheotomy surgery would help my Severe Obstructive Sleep apnea because of severe anatomy problems he found. He was sent a surgery confirmation letter with carbons to Contra Costa Health plan and all my doctors and In Home Support Services. At the top of all my letters I informed them when and how to contact me due to my severe disability which must be after 1 p.m. Not a single agency or person was able to ‘READ” OR CONTACT ME. I received no services and no medical care. Instead Contra Costa Health Plan changed my last name and then blamed the state of California for providing them the false last name which I have “never” had on a single government document. My last name has always been Pay. 4 useless bi-pap machines has failed within 6 months yet the DME failed to replace the machines until I was forced to contact the manufacturers headquarters and they told me to demand another machine. I will not replace the 4th broken machine. The DME refuses to speak to me because they are no longer with Medicare. They and my first sleep specialist Dr. Ka Lin Cheung violated Medicare rules by not re-evaluating the failure of the bi-pap to help my severe obstructive sleep apnea and I was forced to get a second opinion because this doctor would NOT REQUEST ANOTHER SLEEP TEST. This was when I learned the first test had never diagnosed any oxygen pressures for ANY CPAP to be of any help. He would not write that diagnosis as it would criticize another doctor. He only spoke the diagnosis. Luckily I voice record all my office visits to transfer to written records for my own backup to verify my medical records are correctly written from discussions with my doctors. I had to notify Medicare the medical records that they had been sent were incorrect. The GAO report to Congress about EHR software that doctors are using has no laws to regulate and because of this massive fraud is happening that I discovered. As I was a computer programmer who studied EDP auditing in college. The State doesn’t care about doctors who write incorrect medical records as the California Medical Board failed to contact me after I notified them as to masses of documentation to provide them and voice recordings of over 10 years. I ALWAYS TELL MY DOCTORS THE TRUTH AND PROVIDE A MASS OF medical info SO THEY CAN BE THE BEST DOCTORS THEY CAN BE. Sadly, they do not talk to the patient anymore and only type. When you inform them a mistake occurred on your medical record they become argumentative and retaliate against you.
I may be extremely ill but I will not stop talking about doctors who do not write accurate medical records that harm their patients then cover up their negligence.
The Ear, Nose & Throat specialist had no medical file when I returned for his recommended tracheotomy surgery. Instead he would only suggest a turbinate surgery without fixing my severely deviated nose septum that he failed to keep records about. He had no medical record for my previous office visit and discarded all my sleep studies I had left with him to write the report for the tracheotomy surgery to Contra Costa Health Plan with coordination with In Home Support Services. None of these agencies could coordinate themselves out of a “bag” or a corner if they walked into one.
They are Killing people and they don’t care. All this was communicated to State agencies and they never investigated anything. Congressman George Miller who was my rep also provided Contra Costa Health agency my complaint for an investigation and Alice Levy never called but once and dropped the entire investigation. I had an appt. with my 4th sleep specialist to get surgery and he did not have the time to provide as I also need a PCP because mine had left the program due to low re-imbursement rates. You cannot blame competent medical doctors for leaving if they are not paid what they are worth. Only mostly incompetent doctors who spend as little time as they can will accept or care for a patient. They fail to write correct full medical records which WILL KILL THE PATIENT WITH MASSIVE MISTAKES OCCURRING WHICH ARE COVERED UP!