MMCD - Seniors & Persons With Disabilities (SPD)
A federal waiver granted under Section 1115(a) of the Social Security Act permits mandatory enrollment of Medi-Cal only Seniors and Persons with Disabilities into Medi-Cal managed care. The Waiver allows the Department of Health Care Services to achieve care coordination, better manage chronic conditions, and improve health outcomes. Mandatory enrollment begins June 2011.
Counties Included in this Change to Medi-Cal
On June 1, 2011, the following counties will begin a 12-month process of welcoming newly enrolled beneficiaries into their managed care plans: Alameda, Contra Costa, Fresno, Kern, Kings, Los Angeles, Madera, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, Santa Clara, Stanislaus, and Tulare. See When do I need to enroll?, Who is excluded from this?
Aid codes included in this change to Medi-Cal
Those with one of the following aid codes will be included in this transition into managed care, beginning June 1, 2011: 20, 24, 26, 2E, 2H, 36, 60, 64, 66, 6A, 6C, 6E, 6G, 6H, 6J, 6N, 6P, 6V, 10,14, 16, 1E, 1H.
People not included in this change to Medi-Cal
You will still be considered voluntary, and you will not be mandatorily enrolled into managed care if you belong to one or more of these groups: