Managed Care Duals Plan Letters
Dual Plan Letters are no longer in effect, as Cal MediConnect has ended as of December 31, 2022
2018 – Duals Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
|
Non-Emergency Medical and Non-Medical Transportation Services
|
04/26/2018
|
|
| DPL 18-002 (PDF) | Performance Improvement Project Requirements (Supersedes DPL 16-001) | 08/12/2018 |
| DPL 18-003 (PDF) | Care Plan Option Services (Supersedes DPL 13-006) | 11/20/2018 |
2017 – Duals Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
|
Health Risk Assessment and Risk Stratification Requirements for Cal Mediconnect (Supersedes DPL 15-005)
|
07/11/2017
|
|
| DPL 17-002 (PDF) | Reporting Requirements Related to Provider Preventable Conditions (Supersedes DPL 15-002) | 07/21/2017 |
2016 – Duals Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
|
Performance Improvement Project Requirements
|
03/02/2016
|
|
| DPL 16-002 (PDF) | Continuity of Care (Supersedes DPL 15-003) |
04/11/2016 Revised 7/5/2016 |
| DPL 16-003 (PDF) | Discharge Planning for Cal Mediconnect | 7/25/2016 |
2015 – Duals Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
|
Interdisciplinary Care Team and Individual Care Plan Requirements for Medicare-Medicaid Plans (Supersedes DPL 13-004)
|
03/09/2015
|
|
| DPL 15-002 (PDF) | Reporting Requirements Related to Provider Preventable Conditions | 03/11/2015 |
| DPL 15-003 (PDF) | Continuity of Care (Supersedes DPL 14-004) | 03/27/2015 |
| DPL 15-004 (PDF) | Requirements for Cal MediConnect Medicare-Medicaid Plans and Qualified Agency Contract | 05/22/2015 |
| DPL 15-005 (PDF) | Health Risk Assessment and Risk Stratification Requirements for Cal MediConnect (Supersedes DPL 13-002) | 08/17/2015 |
| DPL 15-006 (PDF) | Crossover Claims Responsibility for Mental Health Services Provided to Cal MediConnect Beneficiary (Supersedes DPL 14-003) | 10/15/2015 |
2014 – Duals Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
|
Complaint and Resolution Tracking |
04/10/2014 |
|
| DPL 14-002 (PDF) | Requirement for Nursing Facility Services | 06/18/2014 |
| DPL 14-003 (PDF) | Crossover Claiming Responsibility for Mental Health Services Provided to Cal MediConnect Beneficiaries | 07/25/2014 |
| DPL 14-004 (PDF) | Continuity of Care
(Supersedes DPL 13-005) |
09/29/2014 |
| DPL 14-005 (PDF) | Facility Site Reviews / Physical-Accessibility Reviews
(Supersedes DPL 13-003) |
09/29/2014 |
2013 – Duals Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| Dual-Eligible Special Needs Plans Marketing and Enrollment Restrictions |
03/01/2013 |
|
| DPL 13-002 (PDF) |
Health Risk Assessment and Risk Stratification Requirements for Dual Demonstration Plans Under The Coordinated Care Initiative
|
06/24/2013 |
| DPL 13-003 (PDF) | Facility Site Review / Physical-Accessibility Reviews | 07/17/2013 |
| DPL 13-004 (PDF) | Interdisciplinary Care Team and Individual Care Plan Requirements for Medicare-Medicaid Plans | 07/17/2013 |
| DPL 13-005 (PDF) | Continuity of Care | 11/27/2013 |
| DPL 13-006 (PDF) | Care Plan Option Services | 12/06/2013 |