OC Register: CalOptima reopens to seniors

Enrollment in one of Orange County’s health plans for the poor and elderly is set to reopen Nov. 1, when federal regulators lift an enrollment freeze, county health authorities announced Monday. The freeze was enacted early this year after auditors with the federal Centers for Medicare & Medicaid Services found serious threats to patients’ health … Continue reading

California Healthline: CMS, State Officials Halt Participation of CalOptima in Dual-Eligible Plan

by David Gorn Federal officials on Friday declared Orange County’s CalOptima insurance company had “multiple, serious violations” in its program for seniors and the disabled. The insurer denied legally-required prescription coverage, failed to process provider payments in a timely manner and failed to pay for covered emergency services, among other charges, according to a letter released … Continue reading

DHCS: CCI Update

From our colleagues at CA DHCS:  Today, the Centers for Medicare and Medicaid Services (CMS) announced the results of a program audit of CalOptima’s dual eligible special needs plan product.  As a consequence of this audit, Cal MediConnect in Orange County will not move forward until CalOptima has taken the immediate corrective actions required by … Continue reading

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