Contracts and MOU |

Three-Way Contracts *

This section contains sample templates of the three-way contracts signed by CCI health plans, DHCS and CMS.

Contract for plans without subcontracting health plans (September 2019)
Contract for plans without subcontracting health plans (May 2018)
Contract for plans without subcontracting health plans (February 2014)

Coordinated Care Initiative Memorandum of Understanding *

- California Memorandum of Understanding
- DHCS MOU Fact Sheet (March 27, 2013)

California’s Memorandum of Understanding

CMS MOU Fact Sheet (March 27, 2013)
DHCS Press Release (March 27, 2013)
The SCAN Foundation MOU Fact Sheet (March 27, 2013)

Initiative Proposal *

View the demonstration proposal to CMS and related materials, including the announcement of the selected counties.

Proposal submitted to CMS (May 31, 2012)
Summary of changes made to the demonstration proposal based on stakeholder input (May 31, 2012)
Proposal that shows changes made to the draft document (May 31, 2012)

Request for Solutions *

View the final version, public comments, and draft version of the Request for Solutions document used to select qualified health plans.

Final Request for Solutions (January 27, 2012)

Health Plan Applications

View the applications submitted by health plans to participate in the demonstration.

Templates *

Click here for templates for local plan-county IHSS program/Public Authority MOUs.

Click here for a template for local plan-county behavioral health department MOU.

Click here for a template for local plan-county MSSP Provider MOU.

DHCS CCI Amendment to 1115 Waiver *

View the DHCS CCI 1115 Waiver Amendment Cover Letter, Waiver Special Terms and Conditions and related attachments.

Coordinated Care Initiative Trailer Bill Language *

View the trailer bill language, fact sheets and related documents.

CCI Trailer Bill SB 1008 (June 27, 2012)
CCI Trailer Bill SB 1036 (June 27, 2012)

* These documents preceded the decision that the CCI would not be moving forward in Alameda County. Any reference to ‘eight CCI counties’ or Alameda County’s participation is no longer applicable. (December 1, 2014)
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