LA Care: DHCS Releases Several Coordinated Care Initiative Policy Letters

The policy letters provide important information and guidance about enrollment and Interdisciplinary Care Teams.

This summer, DHCS released several important policy letters related to the Coordinated Care Initiative, Cal MediConnect and the health plans participating in the CCI/Cal MediConnect.

Two policies of special interest are summarized below.

Interdisciplinary Care Team and Individual Care Plan Requirements Policy Letter Highlights
Health plans will offer an Interdisciplinary Care Team (ICT) to a member when a need is demonstrated, or one is requested, and in accordance with the member’s functional status, assessed need, and Individual Care Plan (Care Plan). It will be built around the needs of the member, and it will ensure the integration of the member’s medical care, Long-Term Services and Supports (LTSS) and the coordination of behavioral health services. Every member will have the right to request an ICT. The ICT will facilitate care management, including assessment, care planning, authorization of services, transitional care issues. It will work closely with the member to stabilize medical conditions, increase compliance with Care Plans, maintain functional status and meet individual member Care Plan goals.

D-SNP Policy Letter Highlights

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
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