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 also provides a road map to integrate Medicare and Medi-Cal for people in both programs, called “dual eligible” beneficiaries.  

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

The CCI will be implemented in eight counties beginning in 2013. The eight counties are Alameda, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

Major Parts of the Coordinated Care Initiative

• Cal MediConnect: A voluntary three-year demonstration for dual eligible beneficiaries to receive coordinated medical, behavioral health, long-term institutional, and home-and community-based services through a single organized delivery system.  No more than 456,000 beneficiaries will be eligible for the duals demonstration in the eight counties.
• Managed Medi-Cal Long-Term Supports and Services (LTSS): All Medi-Cal beneficiaries, including dual eligible beneficiaries, are required to join a Medi-Cal managed care health plan to receive their Medi-Cal benefits, including LTSS and Medicare wrap-around benefits.

CCI Fact Sheets

• CCI-HIV Fact Sheet (October 2015)
• Coordinated Care Initiative: Executive Summary (Updated March 27, 2013)
• CCI Population Chart: Updated table showing groups included in and excluded from the demonstration and mandatory Medi-Cal enrollment (March 27, 2013)
• CCI Population Summary: (March 27, 2013) A summary of the participating populations

• CCI Beneficiary Protections: (August 30, 2012)  A summary of all the beneficiary protections included in the CCI.
• CCI Legislative Reporting Requirements: (August 30, 2012) A summary of the legislative reporting requirements for the CCI.
• CCI Stakeholder Engagement Requirements: (August, 30, 2012)  Summary of stakeholder rconsultation equirements.
• CCI Evaluation Strategy: (October 12, 2012)  An overview of the evaluation and quality monitoring for the duals demonstration.
• CCI’s Commitment to Quality: (October 12, 2012) An overview of State efforts to advance high quality care delivery.

Click here for more CCI Fact Sheets and Frequently Asked Questions 

Adopted Legislation

CCI Trailer Bill SB 1008 (July 2012)

CCI Trailer Bill SB 1036 (July  2012)

Fact Sheet Explaining May Revision changes to the CCI Trailer Bill Language (May 24, 2012)