Dual Eligibles Coordinated Care Demonstration – Cal MediConnect
Cal MediConnect was a healthcare program designed to provide coordinated care for individuals who are eligible for both Medicare and Medi-Cal. It combined the benefits of both programs into one health plan, with additional care coordination benefits. On January 1, 2023, the companies that provided Cal MediConnect plans transitioned to offering Medicare Medi-Cal plans (Medi-Medi Plans or MMPs) that continue to coordinate healthcare delivery for this population.
此次示范是加州 Medi-Cal 计划与医疗保险和医疗补助服务中心 (CMS) 之间的合作，旨在为双重合格受益人创造无缝的服务交付体验，最终目标是改善护理协调、获得更好的健康结果和建立更高效的交付系统。
Cal MediConnect was a part of California’s larger Coordinated Care Initiative (CCI). Building on many years of stakeholder discussions, the CCI was enacted in July 2012 through SB 1008 (Chapter 33, Statutes of 2012) and SB 1036 (Chapter 45, Statutes of 2012). Further updates and clarifications to this initiative were enacted in June 2013 through SB 94 (Chapter 37, Statutes of 2013).
In 2014, the Cal MediConnect program was ultimately implemented in seven counties: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo and Santa Clara. The transition to Medicare Medi-Cal plans in 2023 continues the goal of coordinated care for this population. For a list of Medi-Medi Plans that are available in California in 2023, visit the 2023 Medicare Medi-Cal Plan List webpage.