California Healthline: State Tweaks Timeline for Duals Project
State health officials last week dropped Alameda County and its 26,000 dual-eligibles from Cal MediConnect, California’s demonstration project for Californians eligible for Medi-Cal and Medicare.
The timeline for Orange County was pushed back one month for automatic enrollment to start. Orange County had already been delayed to start no sooner than July 2015 because of federal concerns about the oversight readiness of the CalOptima health plan. Enrollment still will begin in July 2015, but passive enrollment — in which beneficiaries are automatically enrolled if they do nothing — now will not begin until August 2015.
Cal MediConnect started with federal approval to target a pool of 456,000 dually eligible seniors in eight demonstration counties. It’s part of a larger effort called the Coordinated Care Initiative. The Department of Health Care Services, which oversees CCI and the duals project, wants to combine services and financing of Medicare and Medi-Cal with the goal of offering more complete, integrated services while saving the state money at the same time.