The Department of Health Care Services (DHCS) submitted to the Legislature a report on the status of readiness for implementation of the Coordinated Care Initiative (CCI) pursuant to Welfare and Institutions (W&I) Code §14182.17.
This report must be submitted five months prior to the commencement date of beneficiary enrollment into the Duals Demonstration project, or Demonstration, as specified in W&I Code §14132.275. As of the date of this report, the Demonstration is scheduled to begin enrollment no sooner than September 1, 2013.
As required by SB 1008, this report provides an update on the status of the following readiness criteria and activities:
- Contract/Funding for Consumer Counseling and Education Services
- Demonstration Beneficiary Communications
- Health Plan Capitation Rates and Contracts
- Health Plan, Provider and County Agency Agreements
- Network Adequacy Standards
- Beneficiary and Health Plan Issue Resolution Procedures
- Appeals and Grievances Tracking System
- Customer Service Training Plan
- Continuity of Care
- Quality Evaluation Measures
- Health Plan Reporting Requirements
DHCS has made substantial progress on these activities, and expects to complete all necessary activities prior to the commencement of the Demonstration. Further, DHCS continues to ensure ongoing stakeholder participation in the development of policies relating to CCI.