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​​CalAIM Intermediate Care Facility for Developmentally Disabled Long-Term Care Carve-In Workgroup Meeting Archive​

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ICF/DD Carve-In Workgroup

Welfare and Institutions Code (WIC) Section 14184.201 required the Department of Health Care Services (DHCS) and the Department of Developmental Services (DDS) to convene a workgroup to address the transition of Intermediate Care Facility for Developmentally Disabled (ICF/DD) services from the Fee-for-Service (FFS) Medi-Cal delivery system to the Medi-Cal managed care delivery system. DHCS and DDS convened the ICF/DD Workgroup from March 2022 through February 2024 to provide an opportunity for stakeholders to collaborate and provide advisory feedback on DHCS' policy and operational efforts in carving in ICF/DD services into Medi-Cal managed care. 

Workgroup participants include representatives from Regional Centers, Managed Care Plans (MCPs), ICF/DD Homes and affiliated associations, consumer groups, and the Service Employees International Union (SEIU). The ICF/DD Workgroup focused on issues specific to Medi-Cal members with developmental disabilities, the Homes, and providers who serve these individuals.

Carve-In Guiding Principles

The transition of ICF/DD services from FFS Medi-Cal to Medi-Cal managed care was designed to be seamless for members. This meant no disruption in access to care or services, that MCPs conducted timely review and authorization of services, as well as supported the member's care planning. In addition, the existing infrastructure (e.g., Regional Centers, ICF/DD Home model) for individuals with developmental disabilities remains the same, including Lanterman Act protections and the roles and responsibilities of Regional Centers. 

DHCS shared drafts and obtained input from the Workgroup on the following deliverables:

  • Provider notifications
  • Medi-Cal member notifications
  • ICF/DD Promising Practices/Frequently Asked Questions document
  • All Plan Letter which serves as requirements to MCPs
  • Standard Provider Contract Guidance

Workgroup Meetings

2022

2023

2024


Last modified date: 7/17/2025 4:14 PM