What do providers need to know about the CCI?
Front-line health care providers know better than most how coordinated care can help their patients – particularly patients with multiple chronic conditions or those who need additional supports to stay living in their home and community.
The federal Medicare program and the state Medi-Cal program have partnered to start a project to improve care for California’s seniors and people with disabilities who are dually eligible for both of the public health insurance programs, “dual eligible beneficiaries.” This project, the Coordinated Care Initiative (CCI), will take place in seven counties: Los Angeles, Orange,* Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. The CCI has two parts:
- Cal MediConnect: All of a beneficiary’s medical, behavioral health, long-term institutional, and home- and community-based services will be combined into a single health plan. This will allow providers to better coordinate care and make it simpler for patients to get the right care at the right time in the right place.
- Medi-Cal Managed Long-Term Supports and Services (MLTSS): Medi-Cal beneficiaries, including dual eligible beneficiaries who have opted out of Cal MediConnect or who are not eligible for Cal MediConnect, are required to join a Medi-Cal managed care health plan to receive their Medi-Cal benefits, including Long-Term Supports and Services (LTSS) and Medicare wrap-around benefits.
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