Cal MediConnect Transition
Rov qab mus rau Coordinated Care Initiative Overview
Rov qab mus rau Kev Pabcuam Kev Sib Txuas rau Cov Neeg Tau Txais Kev Pabcuam Dual
Mus rau Cov Ntaub Ntawv Qhia Txog Kev Tshaj Tawm Txog Medicare Medi-Cal Plans
Cov ntaub ntawv rau cov neeg tau txais txiaj ntsig
Thaum Lub Ib Hlis 1, 2023, Cal MediConnect cov phiaj xwm hloov mus rau Medicare Medi-Cal cov kev npaj (MMPs lossis Medi-Medi cov phiaj xwm) muab los ntawm tib lub tuam txhab uas muab Cal MediConnect cov phiaj xwm. Cov phiaj xwm Medi-Medi no yog tsim los pab saib xyuas cov neeg uas muaj Medicare thiab Medi-Cal.
Medi-Medi Plans
Medi-Medi plans offer an integrated approach to care and care coordination that is like Cal MediConnect. Medi-Medi plans deliver all covered benefits to their members, including medical and home- and community-based services, as well as medical supplies and medications. Members receive integrated member materials, such as one integrated member ID card.
The January 2023 transition occurred in all Coordinated Care Initiative (CCI) counties – Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. For a list of Medi-Medi plans available in California in 2023, visit the 2023 Medicare Medi-Cal Plan List webpage.
Daim ntawv ceeb toom rau npe
Cov neeg tau txais txiaj ntsig tau txais ntawv ceeb toom los ntawm lawv txoj kev npaj CMC txog kev hloov pauv thaum Lub Kaum Hli 2022.
90 Hnub Ceeb Toom
CMC Plans nyob rau hauv xya lub nroog tau xa ib daim ntawv xa tuaj uas muaj 90 Hnub ceeb toom thiab ob lub ntsiab lus: cov lus nug uas nquag nug, hu ua Daim Ntawv Ceeb Toom Ntxiv (NOAI) thiab cov npe ntawm lwm cov kev xaiv kev saib xyuas kev noj qab haus huv (xws li kev koom ua ke D-SNPs thiab PACE).
- Daim Ntawv Ceeb Toom 90 Hnub (Txhua Lub Nroog tshwj tsis yog San Mateo)
- 90 Day Notice (All Counties except San Mateo) – Spanish
- Daim Ntawv Ceeb Toom 90 Hnub (San Mateo County)
- 90 Day Notice (San Mateo County) – Spanish
- CMC NOAI (San Mateo County)
- CMC NOAI (San Mateo County) - Lus Mev
- CMC NOAI (Orange County)
- CMC NOAI (Orange County) – Spanish
- CMC NOAI (Txhua Lub Nroog tsuas yog San Mateo thiab Txiv Kab Ntxwv)
- CMC NOAI (All Counties except San Mateo and Orange) – Spanish
45 Hnub Ceeb Toom
Thaum Lub Kaum Ib Hlis 2022, CMC Plans tau xa tsab ntawv ceeb toom 45 hnub ua ntej ntawm kev hloov pauv, nrog rau NOAI.
- 45 Hnub Ceeb Toom
- 45 Day Notice – Spanish
- 45 Day Notice (San Mateo County)
- Daim Ntawv Ceeb Toom 45 Hnub (San Mateo County) - Lus Mev
Koom nrog
Xeev
Stakeholders can participate in the Cal MediConnect to MMP transition by joining the monthly CalAIM Managed Long-Term Services and Supports and Duals Integration Workgroup, which is open to the public. The workgroup is a collaboration hub where stakeholders can offer feedback to the Department of Health Care Services (DHCS) and engage in discussions related to the policy, operations, and strategy for the D-SNP transition.
For questions about the workgroup, please contact us at info@calduals.org.
Hauv zos
Cov neeg muaj feem cuam tshuam kuj tuaj yeem koom nrog hauv county-based Communications Workgroups. Kev Sib Txuas Lus Workgroups muab lub platform nruab nrab rau cov neeg koom nrog los tham txog Cal MediConnect kev hloov pauv thiab D-SNP nthuav dav. Tam sim no lawv muaj nyob rau hauv rau ntawm lub nroog CCI:
- Los Angeles
- Orange
- San Diego
- Inland Empire (Riverside & San Bernardino)
- Santa Clara
If you are interested in joining any of the local Communications Workgroups, please email Cassidy Acosta at Cassidy@AurreraHealth.com for more information.