Re-Release of the Draft Los Angeles County Enrollment Strategy & Upcoming Stakeholde​r Call

The Department of Health Care Services (DHCS) is re-releasing the draft Los Angeles County Enrollment Strategy for public comment. Comments on previous versions of the proposal were received in July 2013 with 28 entities responding and December 2013 with 18 entities responding. Important changes in LA County have lead DHCS to re-release the LA enrollment document prior to finalization....

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Cal MediConnect Program Update

In an effort to keep interested parties informed and apprised on the latest developments related to Cal MediConnect, the Department of Health Care Services (DHCS) is pleased to offer this roundup, which includes news items of interest and upcoming stakeholder participation opportunities. 90 Day Notice and Envelope Available DHCS committed to stakeholders that they would have an opportunity to see...

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California Awarded Grant From CMS To Fund A Cal MediConnect Ombuds Program

The State of California was recently awarded a Federal grant from the Centers of Medicare and Medicaid Services (CMS) to support and establish a program to perform ombudsman services for Cal MediConnect. The Cal MediConnect Ombuds Program will be an important consumer protection for all Cal MediConnect enrollees, ensuring that individual issues can be addressed. These services will be in...

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DHCS Webinar: What Physicians Need to Know About the Coordinated Care Initiative

DHCS Webinar: What Physicians Need to Know About the Coordinated Care Initiative

As part of a comprehensive outreach and education effort, the Department of Health Care Services (DHCS) is pleased to offer an educational webinar for physicians and other providers on this topic. Building on two years of stakeholder discussions, the CCI integrates delivery of medical, behavioral, and long-term care services. It also includes the Cal MediConnect program, which is an...

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Current Events

DHCS Webinar: What Physicians Need to Know About the Coordinated Care Initiative As part of a comprehensive outreach and education effort, the Department of Health Care Services (DHCS) is pleased to offer an educational webinar for physicians and other providers on this topic. Building on two years of stakeholder discussions, the CCI integrates delivery of medical, behavioral, and long-term...

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DHCS Releases Proposed LA County Enrollment Strategy

Today, the Department of Health Care Services (DHCS) released the draft Los Angeles County Enrollment Strategy for public comment. DHCS has worked to design a strategy that ensures a successful transition for eligible beneficiaries. This policy takes into account the recently released policy around Medicare Advantage D-SNPs (Dual Eligible Special Needs Plans), as outlined in the...

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New CBO Report on Characteristics, Health Care Spending, & Evolving Policies Surrounding Dual Eligibles

As the nation continues to explore ways to better coordinate care for dual eligible beneficiaries, often called Medi-Medis here in California, the Congressional Budget Office (CBO) has released a report that examines the characteristics and costs of dual eligible beneficiaries. CBO does nonpartisan analysis of the federal budget and the economy for Congress. The report explains that federal and...

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Demo to start no sooner than January 2014

Demo to start no sooner than January 2014

The Department of Health Care Services (DHCS) announced on Monday that Cal MediConnect will begin no earlier than January 2014. Cal MediConnect represents a historic effort to integrate the medical, social, and mental health services provided to some of the most vulnerable members of society. Already, there has been an impressive amount of work completed moving California toward this goal,...

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Health Risk Assessment (HRA) Process Posted for Comment

Cal MediConnect health plans must complete a Health Risk Assessment (HRA) for each new enrollee. This process serves as the basis for further assessment needs that may include, but are not limited to, mental health, substance use, chronic physical conditions, incapacity in key activities of daily living, dementia, cognitive status, and the capacity to make informed decisions. The State is seeking...

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Cal MediConnect Readiness Review Tool

CMS has posted the California specific tool that will guide the readiness review process for health plans participating in the Cal MediConnect program – the duals demonstration. Download the California Readiness Review Tool As part of the demonstration, CMS and DHCS want to ensure that every selected Cal MediConnect plan is ready to accept enrollment, protect and provide the necessary...

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