​CalAIM Long-Term Care Carve-In Member Information 

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Medi-Cal coverage of long-term care (LTC) services has been “carved in" (moved) to Medi-Cal managed care plans statewide. This means that Medi-Cal members get their institutional LTC through their Medi-Cal managed care plan instead of through Medi-Cal Fee-For-Service (FFS). This includes LTC services provided in:
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• Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)
• ICF/DD-Habilitative (ICF/DD-H)
• ICF/DD-Nursing (ICF/DD-N)
• Skilled Nursing Facilities (SNFs)
• Adult Subacute Care Facilities
• Pediatric Subacute Care Facilities

Medi-Cal managed care plans began covering LTC services provided by SNFs on January 1, 2023. Medi-Cal managed care plans began covering LTC services provided by Subacute Care DHCS-Contracted Facilities and ICF/DD Homes on January 1, 2024. 

What is a Medi-Cal Managed Care Plan?

A Medi-Cal managed care plan is a health plan that:
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• Works with doctors, hospitals, and other health care providers in your service area to give you health care services
• Gives you the medically necessary Medi-Cal services you need
• Works with you and your providers to coordinate and manage your care

When you are in a Medi-Cal managed care plan, you may still get some services through FFS (“regular") Medi-Cal instead of through your Medi-Cal managed care. In most counties, these include:

• Certain home and community-based services
• Most Medi-Cal pharmacy services
• Specialty mental health services
• Substance use disorder (SUD) treatment services
• Dental services

If you have Medicare, your Medi-Cal managed care plan can also give you more benefits that Medicare may not cover and can help you access Medicare services such as:

• Transportation to medical appointments
• Durable medical equipment
• Medical supplies
• Community Supports

To learn more about Medi-Cal managed care plan benefits, go to the Health Care Options website.

Where Members Can Go for More Information and Help

You can contact any of the following groups with questions about the LTC Carve-In. All calls are free.

For Questions or Help with Your Medi-Cal Services:

Long-Term Care Ombudsman

• Call (800) 231-4024. The line is available 24 hours a day, 7 days a week (toll free).
• The Long-Term Care Ombudsman helps people who live in a skilled nursing home, intermediate care facility, and subacute care facility with complaints and know their rights and responsibilities. 

Medi-Cal Ombudsman Office

• Call (888) 452-8609 (TTY: California State Relay at 711) (toll free), Monday to Friday, 8 a.m. to 5 p.m. PT.
• Or email them at MMCDOmbudsmanOffice@dhcs.ca.gov
• The Ombudsman Office helps people with Medi-Cal use their benefits and understand their rights and responsibilities.

Medicare Medi-Cal Ombudsman Program

• Call (855) 501-3077 (toll free).
• The Medicare Medi-Cal Ombudsman helps people with complaints and issues for both Medicare and Medi-Cal.
  

Regional Center	Counties
Alta California Regional Center	Alpine, Colusa, El Dorado, Nevada, Placer, Sacramento, Sierra, Sutter, Yuba, and Yolo
Central Valley Regional Center	Fresno, Kings, Madera, Mariposa, Merced, and Tulare
Eastern Lost Angeles Regional Center	Los Angeles (Alhambra, East Los Angeles, Northeast, Whittier)
Far Northern Regional Center	Butte, Glenn, Lassen, Modoc, Plumas, Shasta, Siskiyou, Tehama, Trinity
Frank D. Lanterman Regional Center	Los Angeles (Central, Glendale, Hollywood-Wilshire, Pasadena)
Golden Gate Regional Center	Marin, San Mateo, and San Francisco
Harbor Regional Center	Los Angeles (Bellflower, Harbor, Long Beach, and Torrance)
Inland Regional Center	Riverside and San Bernardino
Kern Regional Center	Inyo, Kern, and Mono
North Bay Regional Center	Napa, Solano, and Sonoma
North Los Angeles County Regional Center	Los Angeles (East Valley, San Fernando, and West Valley)
Redwood Coast Regional Center	Del Norte, Humboldt, Lake, and Mendocino
Regional Center of East Bay	Alameda and Contra Costa
Regional Center of Orange County	Orange County
San Andreas Regional Center	Monterey, San Benito, Santa Clara, and Santa Cruz
San Diego Regional Center	Imperial and San Diego
San Gabriel/Pomona Regional Center	Los Angeles (El Monte, Glendora, Monrovia, and Pomona)
South Central Los Angeles Regional Center	Los Angeles (Compton, San Antonio, South, Southeast, and Southwest)
Tri-Counties Regional Center	San Luis Obispo, Santa Barbara, and Ventura
Valley Mountain Regional Center	Amador, Calaveras, San Joaquin, Stanislaus, and Tuolumne
Westside Regional Center	Los Angeles (Inglewood and Santa Monica–West)​

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