​​​​​​​​​​​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 provides a road map to integrate Medicare and Medi-Cal for beneficiaries of both programs, called “dual eligible" beneficiaries.  For more information on the CCI, please visit CalDuals.org​.

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.

Under the California Advancing and Innovating Medi-Cal (CalAIM)​ initiative, the California Department of Health Care Services (DHCS) is proposing to transition CCI to a statewide Managed Long-Term Services and Supports (MLTSS) and Dual Eligible Special Needs Plan (D-SNP) structure. 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.

Major Parts of the Coordinated Care Initiative

• Cal MediConnect: A voluntary health plan 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. Cal MediConnect combines both Medicare and Medi-Cal benefits with additional care coordination benefits.  
• Managed Medi-Cal Long-Term Supports and Services (MLTSS): All Medi-Cal beneficiaries, including dual eligible beneficiaries, in CCI counties are required to join a Medi-Cal managed care health plan to receive their Medi-Cal benefits, including LTSS and Medicare wrap-around benefits.

Public Participation

The public is encouraged to attend all meetings. Please register using the links below. ​​

​Upcoming Meetings

​Wednesday, June 30, 2021

• 12:00 p.m. - 1:00 p.m.
  
• Meeting Registration​
  
• Meeting Materials
  
• ​Agenda
• Meeting Presentation​
  
• Video with Transcript​
• Meeting Transcript​​
  

CCI Fact Sheets

1. Resources for Beneficiaries

• Beneficiary Toolkit
• Medi-Cal News: Free Transportation Benefit!
• Your Dental Services Through Medi-Cal
• Non-Emergency Medical Transportation (NEMT) vs. Non-Medical Transportation (NMT)

     2. Resources for Providers

• Physician Toolkit
• Hospital Case Manager Toolkit
• CCI Provider FAQ

     3. Resources for Advocates

• Advocates Guide to CCI
• Two Cal MediConnect Eligibility Protections: Deeming and Aid Paid Pending

     4. Historical CCI Information

• 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 reconsultation requirements.
• 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.

Adopted Legislation​

• CCI Trailer Bill Senate Bill 1008 (July 2012)
• CCI Trailer Bill Senate Bill 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)
   

For more information about the Coordinated Care Initiative and Cal MediConnect, please visit the program's main page, CalDuals.org.