Medicare Advantage Plans

Cov txheej txheem ntawv pov thawj (yeem yeem txhim kho)

Lub hom phiaj

Muab ib daim ntawv qhia txog lub county Mental Health Plans (MHPs) xa cov ntaub ntawv thov rau Medi-Cal cov nyiaj them rov qab rau Short-Doyle/Medi-Cal (SDMC) cov nyiaj them rov qab tshwj xeeb rau cov kev pab cuam puas siab puas ntsws muab rau cov neeg tau txais txiaj ntsig tsim nyog rau ob qho tib si Medicare thiab Medi-Cal (dual tsim nyog tau txais Mediage) uas nws tau txais kev pab them nqi kho mob los ntawm Mediage. Medicare Risk HMO or Medicare Part C plan).

Cov ntaub ntawv

INFORMATION CEEB TOOM 09-09, 10-11, 10-23, 11-06, thiab 13-24

Txheej txheem txheej txheem

Yog tias ob leeg tsim nyog nrog FFS Medicare, MHPs tsis tas yuav them tus nqi-rau-Service Medicare rau kev them nyiaj rov qab rau cov kev pabcuam uas DHCS tau txiav txim siab tsis tau them los ntawm Medicare vim tias qhov kev pabcuam, hom neeg muab kev pabcuam, lossis kev sib xyaw ntawm cov kev pabcuam, hom kws khomob, thiab qhov chaw pabcuam tsis tuaj yeem them rov qab los ntawm Medicare.
Txhua Cov Kev Npaj Kho Mob Puas Hlwb mus sij hawm nkag mus rau hauv MedCCC lub vev xaib kom paub tseeb tias yog tus neeg tuav pov hwm hauv daim ntawv teev npe.
Mental Health Plan tau txais tsab ntawv pov thawj qhia tias txoj kev npaj yuav tsis muaj kev pab ntxiv rau cov kev pab kho mob hlwb tshwj xeeb tshaj qhov uas yog muab los ntawm FFS Medicare. Daim ntawv pov thawj yuav tsum muaj cov ntaub ntawv hauv qab no:

Lub npe Medicare Advantage plan;
Federal daim ntawv cog lus tus naj npawb; thiab
Daim ntawv qhia hnub xyoo ntawm kev pab cuam uas nws siv, uas yuav tsum tsis txhob suav nrog ib lub xyoo ntawm kev pab cuam tom qab lub xyoo tom qab hnub ntawm tsab ntawv.

MHP xa daim ntawv pov thawj mus rau MedCCC ntawm Mental Health Services Division, County Customer Service Section ntawm: MedCCC@DHCS.CA.GOV siv cov kab lus: "FFS-Equivalent Coverage Certification."
MedCCC ua kom lub SDMC system yuav kho cov phiaj xwm raws li FFS txoj kev npaj sib npaug thaum txiav txim rau cov kev pabcuam rau hnub uas tau them los ntawm daim ntawv pov thawj.
MHPs nrog cov lus thov uas tau raug tsis lees paub yav dhau los vim tias cov kev pabcuam tsis tau them thawj zaug rau tus neeg tau txais txiaj ntsig Medicare Advantage txoj kev npaj yuav xa cov ntaub ntawv hloov pauv rau ib qho kev tsis lees paub uas suav nrog cov kev pabcuam uas tsis tas yuav them nqi rau Medicare Advantage txoj kev npaj ua ntej them Medi-Cal.

Certification Status

Lub Npe Health Plan	Tsoom Fwv Teb Chaws Daim Ntawv Cog Lus #	Hnub tau txais	Hnub Ua Haujlwm	Certified Date Range (Hloov kho Lub Ib Hlis, 2022)
Aetna Better Health of California	H4982	4/3/2023	4/25/2023	01/01/2023-12/31/2023
Aetna Health ntawm California	H0523 & H5521	07/29/14	09/03/14	01/01/12 - 12/31/15
Aids Healthcare Foundation, dba Cov Neeg Koom Tes Saib Xyuas Kev Noj Qab Haus Huv Zoo (PHP)	H5852	01/13/17	01/25/17	01/01/14 - 12/31/17
Alameda Alliance for Health	H7292	02/25/14	04/24/14	01/01/10 - 12/31/15
Alignment Health Plan yav tas los Kev Xaiv Pej Xeem Health Plan HMO	H3815	01/24/17	01/26/17	01/01/13 - 12/31/17
Blue Shield	H0504	04/06/17	04/10/17	01/01/14 - 12/31/17
Blue Shield ntawm California	H5609	04/06/17	04/10/17	01/01/16 - 12/31/17
CalOptima yog	H5433	09/12/24	09/16/24	01/01/14 - 12/31/25
Care First Total Dual Plan aka BSC Promise Health Plan	H5928	03/16/23	03/30/23	01/01/08 - 12/31/23
CareMore Health Plan	H0544	05/09/16	06/15/16	01/01/16 - 12/31/16
Central Health Medicare Plan of California	H5649	07/13/16	08/24/16	01/01/12 - 12/31/17
Pawg Saib Xyuas Kev Noj Qab Haus Huv	H5172	02/10/14 hnub	04/24/14	01/01/14 - 12/31/15
Pawg Saib Xyuas Kev Noj Qab Haus Huv	H7086	07/27/20	09.04.20	01/01/14 - 12/31/20
Ib qho yooj yim Choice Health Plan	H5087	10/07/14 hnub	01/13/15	01/01/14 - 12/31/15
Health Net ntawm California, Inc.	H0562	03/28/23	05/01/23	01/01/14 - 12/31/23
Health Plan ntawm San Mateo	H5428	12/06/21	12/29/21	01/01/10 – 12/31/22
CareAdvantage Mediconnect	H7885	12/14/22	02/02/23	01/01/10 – 12/31/22
CareAdvantage Dual Tsim Nyog	H6019	11/26/24	02/06/25	01/01/23 - 12/31/25
Inland Empire Health Plan (IEHP)	H5640	02/08/16	06/15/16	01/01/11 - 12/31/16
Inter Valley Health Plan	H0545	03/14/16	06/15/16	01/01/14 - 12/31/16
LA Care Health Plan	H2643	02/29/16	06/15/16	09/26/13 – 12/31/14
Molina Healthcare ntawm California	H5810	03/13/23	03/17/23	01/01/11 – 12/31/23
Partnership Health Plan of California	H5782	01/28/14	05/13/14	03/01/10 - 12/31/15
SCAN Health Plan	H5425	07/13/16	08/24/16	01/01/11 - 12/31/17
United Healthcare of California/Secure Horizons	H0543	05/23/14 hnub	06/16/14	01/01/10 - 12/31/15

Hnub hloov tshiab kawg: 2/6/2025 11:21 AM

Medicare Advantage Plans​​

Cov txheej txheem ntawv pov thawj (yeem yeem txhim kho)​​

Lub hom phiaj​​

Cov ntaub ntawv​​

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Medicare Advantage Plans

Cov txheej txheem ntawv pov thawj (yeem yeem txhim kho)

Lub hom phiaj

Cov ntaub ntawv

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