​​​​​​Managed Care Duals Plan Letters

2018 - Duals Plan Letters

Letter Number Title (Subject) of LetterDate 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 LetterDate 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 LetterDate 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 LetterDate 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 LetterDate 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 Services06/18/2014
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 LetterDate of Issue

DPL 13-001 (PDF)             

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 Ini​tiative
06/24/2013
DPL 13-003 (PDF)   Facility Site Review / Physical-Accessibility Reviews07/17/2013
DPL 13-004 (PDF)   Interdisciplinary Care Team and Individual Care Plan Requirements for Medicare-Medicaid Plans07/17/2013
DPL 13-005 (PDF)   Continuity of Care 11/27/2013
DPL 13-006 (PDF)   Care Plan Option Services12/06/2013

 

Last modified date: 7/31/2020 9:50 AM