CCI Update

From Jane Ogle, Deputy Director, Health Care Delivery Systems, Department of Health Care Services:

Cal MediConnect Ombudsman Program Update
On January 13, 2014, the Department of Managed Health Care (DMHC) released the Cal MediConnect Ombudsman Program Request for Proposals (RFP). The RFP can be accessed here (http://www.dmhc.ca.gov/library/reports/news/RFP13MCSA010.pdf). 

The deadline to submit a proposal is January 28, 2014 at 4pm PT.

DMHC will be hosting an optional Proposer’s Conference on January 22, 2014 from 1:00pm to 2:00pm PT. There will be an in-person option & a call-in option.

In-person option:

Department of Managed Health Care
980 9th Street, Suite 500
Sacramento, CA 95814 

Call-in option: Instructions on how to join via conference call will be posted at the DMHC website a minimum of 5 days prior to the Proposer’s Conference. 

If you have questions related to the RFP, please contact teresa.johnson@dmhc.ca.gov.  

Reminder – CCI Quarterly Stakeholder Meeting on 1/17/14

Please remember to join the Department of Health Care Services (DHCS) for our second Coordinated Care Initiative (CCI) Quarterly Stakeholder Meeting on January 17, 2014. 

Per feedback from the previous CCI Quarterly Stakeholder Meeting held on August 27, 2013, we are introducing a format that is conference call only with an agenda that is divided between two different sessions. Each session will focus on specific topics of interest. We are hopeful that this format helps facilitate some more of the requested in-depth conversations and makes it easier for attendees to participate in the sessions.  

Please click on the links below to register for either or both portions of the agenda:

  • 11:00 am – 12:30pm PT: Enrollment Strategy and Timelines in Each County. Click here to register.
  • 3:00pm – 4:30pm PT: Cal MediConnect Ombuds Program. Click here to register.

Meeting materials will be posted here prior to the stakeholder meeting.  

If you have questions, please email info@calduals.org.

 

Comments
One Response to “CCI Update”
  1. Bill Benton says:

    I would simply like to say that many folks currently with straight “Medi-Medi” health care status are now facing a great mass of confusion and apparent misinformation about their choices under the Affordable Care Act. I was recently advised–EXPLICITLY– by the Cal MediConnect Ombudsman folks (on two occasions!), that I would have to choose a Medi-Cal managed care plan, but my doctors would NOT have to be part of the network (nor have a contract with same) to receive compensation for the portion of the fees not handled by MediCare. I was told that there might be some slight accommodation required, such as the use of different billing codes, but “no problemo!” Yet an info sheet from DMHC (and the “Health Care Options” people, as well) is now informing me that–on the contrary–a provider DOES need to be part of the network (and have a contract with same). The office manager of my main provider has expressed some doubt about these plans, so this is a source of serious concern for me. I have been with this doctor for five years, and changing to another provider is NOT a viable option!! Anyone have an answer? (zounds456@aol.com)

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