For Review: New Toolkit for Dual Eligible Beneficiaries

The Department of Health Care Services (DHCS) is committed to working collaboratively with stakeholders to ensure that beneficiaries currently enrolled in Cal MediConnect and Medi-Cal Managed Care plans have the information they need to navigate these plans and access quality health services.
As part of DHCS’ longstanding commitment to working collaboratively with stakeholders on educational materials for the Coordinated Care Initiative (CCI), DHCS is releasing a draft Cal MediConnect Beneficiary Toolkit for stakeholder comment.
This comprehensive toolkit tells a cohesive story of Cal MediConnect, and also contains stand-alone fact sheets that cover various topics and aspects of Cal MediConnect and the CCI in more depth.  For example, the toolkit includes fact sheets that address many of the questions currently enrolled and eligible beneficiaries often have, including:

  • Can I keep my current doctor?
  • How do I keep seeing my current doctors?
  • How does Cal MediConnect help me get the care I need?
  • What is a Health Risk Assessment and a Care Coordinator?

Many dually-eligible beneficiaries are new to managed care plans in general, so the toolkit also includes a fact sheet that helps explain some of the particulars related to managed care plans, such as the definition of a network.
This toolkit will help eligible beneficiaries understand their options and how Cal MediConnect may benefit them.  It will also help these beneficiaries better understand how to navigate their Medi-Cal Managed Care plans if they do keep their Medicare as the same.
We hope this toolkit will be an easy-to-use resource for enrolled and eligible beneficiaries, caregivers, and stakeholders.  It will be available online and used in outreach activities.
Please note that the current graphics and format are placeholders and draft.  Prior to being finalized, these materials will be submitted to a graphic designer for stylistic improvements.  They will also undergo a final literacy review to ensure that they meet readability standards and are not above a sixth-grade reading level.  We also plan to do some informal beneficiary testing after stakeholders have had a chance to review and comment.
Please submit your comments, edits, or questions to by Friday, December 11, 2015.
You can find the materials here. When adding comments to the toolkit, please use the “track changes” feature to indicate your edits.
As always, your participation is very important to us as we continue to implement the CCI.  We look forward to receiving and reviewing your input.

  1. In the draft document I would like to see 711 which is in all of the county numbers listed through out the doc and a flushed out paragraph about appeal system and softer language about what opt out means not telling them they must enroll in a plan to get service.

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