For more information phone 858-495-5853 or send us an email.
- ANNOUNCEMENTS -
IMPORTANT UPDATE | COORDINATED CARE INITIATIVE (CCI) 2/2014
New population estimates were published in a Background Paper for the Senate Budget & Senate Health Oversight Hearing on Coordinated Care Initiative. To read the full report click here.
- San Diego County Dual Eligible Population - 55,798
- San Diego County Eligible Medi-Cal-Only Enrollees into Medi-Cal Managed Care - 64,000
- Total CCI Population in San Diego County - 119,798
Also, on February 4, 2014 California's Department of Health Care Services (DHCS) announced on Cal Duals that in order to ensure beneficiaries in the inaugural month of CCI have sufficient time to understand and review their options, beneficiaries in Riverside, San Bernardino and San Diego counties will have a 30 day voluntary enrollment period during April. The dates below reflect this update. We have also developed a handout of San Diego County's CCI Enrollment Timeline. Please note that the information on the handout is the same on both pages.
Cal MediConnect :
April 2014: Any dual, eligible for Cal MediConnect, can choose to enroll in a Cal MediConnect Plan at any time beginning in April. Passive enrollment will begin May 2014.
May 2014: Full Duals in Medicare FFS and are enrolled in a Medi-Cal Managed Care Plan (All beneficiaries will be enrolled in May 2014)
May 2014: Full Duals in Medicare FFS who are in FFS Medi-Cal (All Beneficiaries in this category will enroll by their birth month)
July 2014: All MSSP beneficiaries eligible for Cal MediConnect (All Beneficiaries in this category will enroll in July 2014)
January 2015: Full Duals who have Medicare Advantage Plan/Part D LIS and are in either a Medi-Cal Managed Care Plan or FFS Medi-Cal (All Beneficiaries in this category will enroll in January 2015)
Managed Long Term Services & Supports (MLTSS):
April 2014: Full Duals who have a Medicare Advantage Plan and are in a Medi-Cal Managed Care Plan (All Beneficiaries in this category will enroll in April 2014)
May 2014: Full Duals who opt-out of Cal MediConnect and are in FFS Medi-Cal (All Beneficiaries in this category will enroll by their birth month)
May 2014: Full Duals who have a Medicare Advantage Plan or who are part of an excluded Cal MediConnect population who are enrolled in FFS Medi-Cal (All beneficiaries in this category will be enrolled by their birth month except for April 2014 - they will be enrolled in May 2015)
July 2014: All MSSP beneficiaries in Medi-Cal Managed Care or FFS Medi-Cal (All Beneficiaries in this category will enroll in July 2014)
July 2014: All Partial Dual/SPD already enrolled Medi-Cal Managed Care (All Beneficiaries in this category will enroll in July 2014)
July 2014: All Partial Dual/SPD enrolled in FFS Medi-Cal (All Beneficiaries in this category will enroll in July 2014)
Update on CCI Beneficiary Notification 2/2014
Those who need to select a new plan, will still receive three different notices, sent 90, 60 and 30 days ahead of their enrollment date. This is the same for beneficiaries eligible for Cal MediConnect and beneficiaries in Medi-Cal fee-for-service who need to choose a managed care plan for their long-term services and supports (MLTSS). Those beneficiaries who are NOT eligible for Cal MediConnect and who are already enrolled in a Medi-Cal managed care plan will now receive one 30 day notice, instead of a 45 day notice, prior to the change in their benefit package. For the latest status of the CCI Enrollment Notices please click here.
- 90, 60 and 30 day notices
- The 60 day notice, an enrollee will receive a Guidebook and choice form
MLTSS beneficiaries NOT in a Medi-Cal Managed Care Plan:
- 90, 60 and 30 day notices
MLTSS beneficiaries currently in a Medi-Cal Managed Care Plan:
- 30 days prior to the change in benefit package
Please note: All notices from the State will be in BLUE envelopes
LTCIP Awarded 2-Year Grant from The SCAN Foundation
LTCIP, under the leadership of AIS, has been awarded a two-year grant from The SCAN Foundation to serve as the Regional Coalition for San Diego County carrying on the great work accomplished over the past two years by the San Diego Senior Alliance. United by a common vision of high-quality client-driven care, LTCIP will represent the county on the California Collaborative for Long Term Services and Supports whose goal is to transform the state’s system of long-term services and supports (LTSS). Additionally, as the Regional Coalition the LTCIP is charged with supporting outreach and education efforts related to CCI. With additional funding through the grant, key LTCIP stakeholders will work with a consultant to design a LTSS Brokerage Model that can be replicated by Aging & Disability Resource Connections (ADRCs) throughout the state and country.
SAVE THE DATE!
Next LTCIP Quarterly Stakeholder Meeting | Friday, March 14, 2014
The next quarterly LTCIP meeting will be held on Friday, March 14, 2014 from 8:30-10:30am. More details about the March meeting will be released as the date approaches. To view materials from past LTCIP meetings please click on the LTCIP Meeting Materials tab located on the left hand navigation panel.
LAN Event Materials
Learning and Action Network | November 19, 2013 | Achieving Person Centered Care in San Diego and Imperial Counties
Want to learn more about the Long Term Care Integration Project?
For more information about LTCIP please contact Brenda Schmitthenner, the Manager of the LTCIP, at (858)495-5853 or at email@example.com.