घर प्रदाता और भागीदार समन्वित देखभाल पहल और कैल मेडीकनेक्ट​​ 

कोऑर्डिनेटेड केयर इनिशिएटिव और कैल मेडिकनेक्ट​​ 

दोहरे योग्य लाभार्थियों के लिए एकीकृत देखभाल पर लौटें​​ 

क्या आप Cal MediConnect सदस्य हैं? Cal MediConnect के भविष्य के बारे में और जानें।​​ 

Passage of the Coordinated Care Initiative (CCI) in July 2012 marked an important step toward transforming California’s Medi-Cal (Medicaid) care delivery system to better serve the state’s low-income seniors and persons with disabilities. Building upon many years of stakeholder discussions, the CCI begins the process of integrating delivery of medical, behavioral, and long-term care services and provides a road map to integrate Medicare and Medi-Cal for beneficiaries of both programs, called “dual eligible” beneficiaries.​​   

Created through a public process involving stakeholders and health care consumers, the CCI was enacted through Senate Bill 1008 (Chapter 33, Statutes of 2012) and Senate Bill 1036 (Chapter 45, Statutes of 2012).​​ 

The CCI was implemented in seven counties beginning in 2014. The seven counties are Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.​​ 

कोऑर्डिनेटेड केयर इनिशिएटिव के प्रमुख भाग​​ 

  • कैल मेडिकनेक्ट: एकल संगठित वितरण प्रणाली के माध्यम से समन्वित चिकित्सा, व्यवहारिक स्वास्थ्य, दीर्घकालिक संस्थागत, और घर और समुदाय-आधारित सेवाएं प्राप्त करने के लिए दोहरे पात्र लाभार्थियों के लिए एक स्वैच्छिक स्वास्थ्य योजना। Cal MediConnect अतिरिक्त देखभाल समन्वय लाभों के साथ मेडिकेयर और मेडी-काल दोनों लाभों को जोड़ती है।​​   
  • प्रबंधित मेडी-काल लॉन्ग-टर्म सपोर्ट एंड सर्विसेज (MLTSS): CCI काउंटियों में दोहरे पात्र लाभार्थियों सहित सभी मेडी-काल लाभार्थियों को LTSS और मेडिकेयर रैप-अराउंड लाभों सहित अपने मेडी-काल लाभ प्राप्त करने के लिए मेडी-काल प्रबंधित देखभाल स्वास्थ्य योजना में शामिल होना आवश्यक है।​​ 

What’s New with Cal MediConnect​​ 

Under the California Advancing and Innovating Medi-Cal (CalAIM) initiative, starting on January 1, 2023, Cal MediConnect members will be transitioned to MMPs, or Medi-Medi Plans. MMPs is the California-specific program name for Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (EAE D-SNPs). Under exclusively aligned enrollment, beneficiaries can enroll in a D-SNP for Medicare benefits and in a Medi-Cal managed care plan for Medi-Cal benefits, which are both operated by the same parent organization for better care coordination and integration. DHCS will work with health plans, stakeholders, and the Centers for Medicare & Medicaid Services (CMS) to transition and expand integrated care statewide.  This policy is intended to help meet the statewide goals of improved care integration and person-centered care, under both the CalAIM initiative and the California Master Plan for Aging.​​ 

DHCS is convening the monthly public CalAIM MLTSS & Duals Integration Workgroup to work with stakeholders to support this transition. Information on how to register for the CalAIM MLTSS & Duals Integration Stakeholder Workgroup, and background materials from previous workgroup meetings is available here.​​ 

सामान्य जानकारी​​ 

  • How to Enroll – Shares basic information about how to enroll in Cal MediConnect.​​ 
  • Cal MediConnect Benefits and Services – Includes basic information about CMC’s benefits/services.​​ 
  • PACE – Includes brief background on the PACE program, a link to CalPACE, and four PACE FAQs.​​ 
  • Health Plan 101 – An explanation of different health plan components and a series of related questions and answers.​​ 

CCI फैक्ट शीट्स​​ 

  1. लाभार्थियों के लिए संसाधन​​ 

     2। प्रदाताओं के लिए संसाधन​​ 

     3। अधिवक्ताओं के लिए संसाधन​​ 

     4। CCI की ऐतिहासिक जानकारी​​ 

अपनाया गया विधान​​ 

विधायी भाषा के पुराने संस्करण​​ 

For more information about the Coordinated Care Initiative and Cal MediConnect, please visit the Integrated Care for Dual Eligible Beneficiaries webpage.​​