California Healthline: State Wins Duals Project Court Ruling, Medicaid Defense Fund Plans to Appeal

by David Gorn

A California Superior Court judge’s decision Friday that the state may continue its demonstration project for dual eligibles could affect up to 456,000 Californians who are eligible for both Medicare and Medi-Cal — roughly half of the state’s 1.1 million duals. The duals in certain counties are part of the state’s Cal MediConnect pilot plan to move them into Medi-Cal managed care plans.

Meanwhile state officials announced Friday it will delay entry of two counties into the eight-county duals demonstration project till at least July 2015.

Sacramento Superior Court Judge Shelleyanne Chang “in essence denied all relief to duals in this case,” said Lynn Carman, attorney for the Medicaid Defense Fund, a group of consumer advocates and independent living centers who filed the lawsuit challenging the project. The group plans to appeal.

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