California Healthline: State ‘De-links’ Mandatory Enrollment from Duals Project

by David Gorn

The Department of Health Care Services last week announced a new provision of Cal MediConnect that would establish a means of abandoning the state’s duals demonstration project  if it doesn’t meet a financial benchmark.

The department also wants to “de-link” mandatory enrollment from the demonstration project, according to Jane Ogle, deputy director at DHCS.

“On the program side, we de-linked mandatory enrollment of duals. That way, we’ll have long-term services and supports as Medi-Cal benefits,” she said.

Ogle, attending the annual conference of the California Association of Physician Groups in Los Angeles Saturday, said the department talked to stakeholders about the changes in a conference call Thursday. The call included explanation of a new financial insurance policy on the project.

“We have a revised poison pill [provision] so if the Department of Finance determines the program is not saving the state money, it can be terminated,” Ogle said. “Not just before the go-live in November or so, but then also every January, [the Department of Finance] would have the right to terminate the whole thing, it can all go away.”

Read more: http://www.californiahealthline.org/capitol-desk/2013/6/change-in-approach-for-duals-project.aspx#ixzz2W7a2xv1K

Comments
One Response to “California Healthline: State ‘De-links’ Mandatory Enrollment from Duals Project”
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