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Home Forms, Laws, and Publications  Current Duals Plan Letters

Current Duals Plan Letters

2018 – Duals Plan Letters

Letter Number Title (Subject) of Letter Date of Issue
DPL 18-001 (PDF) Non-Emergency Medical and Non-Medical Transportation Services 04/26/2018

2017 – Duals Plan Letters

Letter Number Title (Subject) of Letter Date of Issue
DPL 17-001 (PDF)

Health Risk Assessment and Risk Stratification Requirements for Cal Mediconnect

(Supersedes DPL 15-005)

07/21/2017
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
DPL 16-001 (PDF) 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 07/25/2016

2015 – Duals Plan Letters

Letter Number Title (Subject) of Letter Date of Issue
DPL 15-001 (PDF)

Interdisciplinary Care Team and Individual Care Plan Requirements for Medicare-Medicaid Plans

(Supersedes DPL 13-004)

03/09/2015
DPL 15-004 (PDF) Requirements for Cal MediConnect Medicare-Medicaid Plans and Qualified Agency Contract 05/22/2015
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
DPL 14-001 (PDF) Complaint and Resolution Tracking  Attachment B alternate MS Excel spreadsheet format 04/10/2014
DPL 14-002 (PDF) Requirement for Nursing Facility Services 06/18/2014
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
DPL 13-001 (PDF) Dual-Eligible Special Needs Plans Marketing and Enrollment Restrictions 03/01/2013
DPL 13-006 (PDF) Care Plan Option Services 12/06/2013