​​​​Coordinated Care Initiative Overview

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

Adopted Legislation​

CCI Trailer Bill SB 1008 (July 2012)
CCI Trailer Bill SB 1036 (July  2012) 

Earlier Versions of the Legislative Langauge​

Proposed Revisions to the Coordinated Care Initiative Trailer Bill Language (May 24, 2012)
Fact Sheet Explaining May Revision changes to the CCI Trailer Bill Language (May 24, 2012)

Long-Term Supports and Services TBL Fact Sheet (March 26, 2012)Legislative Language on the Brown Administration's Coordinated Care Initiative (March 26, 2012)

Savings Estimates and Methodology for the Coordinated Care Initiative (February)


 Duals Demonstration main page

Last modified date: 10/24/2019 2:15 PM