雙重資格族群協調護理示範計畫 – Cal MediConnect
Cal MediConnect是一項醫療保健Program ，旨在為同時符合Medicare和Medi-Cal的個人提供協調護理。 它將兩個Program的優勢合併為一個Health Plan ，並提供額外的護理協調福利。 1 月1日， 2023 ，提供 Cal MediConnect 計劃的公司過渡到提供 Medicare Medi-Cal 計劃（ Medi-Medi 計劃或 MMP ），繼續協調為該人群提供醫療保健服務。
該演示是加州醫療補助健康保健計劃專案與聯邦醫療保險和醫療補助服務中心 (CMS) 之間的合作夥伴關係，旨在為雙重合格受益人創造無縫的服務提供體驗，最終目標是改善護理協調、更好的健康結果和更有效率的交付系統。
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.