Pago Dirigido Equivalente de Pago por Servicio por Cuidado a Largo Plazo
Back to: Directed Payments
In accordance with State law (Welfare and Institutions Code, Section 14184.201(b) and (c)), the Department has directed Medi-Cal Managed Care Plans (MCPs) operating in Geographic Managed Care/Regional Model/Two-Plan Model non-Coordinated Care Initiative (CCI) “transitioning” counties to reimburse network providers of Long-Term Care (LTC) services, as defined at Welfare and Institutions Code Section 14184.201(g), as of the following dates: skilled nursing facility (SNF) services as of January 1, 2023, and other institutional LTC services as of January 1, 2024.
El objetivo de este acuerdo de reforma del sistema de prestación de servicios es apoyar la incorporación de los servicios de cuidados de larga duración en el sistema de prestación de servicios de Medi-Cal Managed Care en todo el estado, manteniendo al mismo tiempo el acceso a los servicios y la estabilidad de precios y evitando la interrupción o interrupción de la atención crítica para la población institucionalizada vulnerable.
For any managed care questions regarding this program, please reach out to Health Plan Directed Payment team at PlanDP@dhcs.ca.gov.