California Healthline: If Calif. Ends Coordinated Care Initiative, What Happens to Frail Senior Duals?

Photo Jay Reiter/MCT via Getty Images

by David Gorn Zelda Gamble of Long Beach, 74, has diabetes, high blood pressure and severe rheumatoid arthritis that keeps her confined to a motorized wheelchair all day. Gamble is one of roughly 12,000 frail seniors across California who depend on the Multipurpose Senior Services Program, or MSSP, for services and care that help them … Continue reading

CalDuals: CCI and Cal MediConnect Updates

Here is a link to a page to provide information and guidance for Physicians with CCI: http://www.calduals.org/providers/ Here are a link to a page to Cal MediConnect Sample Enrollment Materials: http://www.calduals.org/implementation/cci-documents/notices/

NSCLC: What Should California Advocates Do If Their Clients are Balance Billed?

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When medical providers bill  dual eligible beneficiaries (those with both Medicare and Medi-Cal) for charges not covered by either Medicare or Medi-Cal; or Medi-Cal only seniors and persons with disabilities any amount for a Medi-Cal covered service, it’s called Balance Billing. This practice violates both state and federal law, but some providers don’t know they … Continue reading

The SCAN Foundation: California’s Coordinated Care Initiative: August 2014 Update

This fact sheet provides updated information on enrollment, implementation issues, and program changes in California’s Coordinated Care Initiative since operations began in April 2014. – See more at: See factsheet here: http://www.thescanfoundation.org/californias-coordinated-care-initiative-august-2014-update?utm_source=8-20-14+%28CCI+Fact+Sheet%3B+NSCLC+Fact+sheet%29&utm_campaign=8-20-14&utm_medium=email

NSCLC: Protecting Medi-Cal Beneficiaries from Balance Billing: Resources for Advocates

From our colleagues at NSCLC (sign up for NSCLC newsletter here): Advocates continue to report attempts by providers, particularly physicians, to ”balance bill” dual eligible beneficiaries (those who qualify for both Medicare and Medi-Cal)  for charges not covered by Medicare or Medi-Cal.   Balance billing violates both federal and state law.  Providers may not balance … Continue reading

NSCLC: CCI Tips

From our colleagues at NSCLC: Beneficiaries Who Opt Out of Cal MediConnect are Enrolled in Medi-Cal Plans Effective the Following Month.  Dual eligible beneficiaries who opt-out of Cal MediConnect must still enroll in a Medi-Cal plan.  The Medi-Cal plan will become effective the month after the beneficiary opts out and not necessarily the same month as … Continue reading

California Healthline: Landmark Healthy San Francisco Remains Safety Net During Transition Period

by Heather Mack, California Healthline Contributing Reporter By many accounts, Healthy San Francisco — the city’s landmark universal health care plan launched in 2007 — has been a success. Uninsured residents in one of the world’s most expensive cities finally had access to affordable, quality health care. While the Affordable Care Act opened up the possibility … Continue reading

CA DHCS: Reminder to Save the Date for the July 2014 Quarterly CCI Stakeholder Update

Quarterly Coordinated Care Initiative Stakeholder Update July 2014: Over the last three years, the Department of Health Care Services has engaged in conversations with stakeholders about the Coordinated Care Initiative, including having department officials and interested parties participate in numerous stakeholder workgroups and meetings.   This is a reminder that the next CCI quarterly stakeholder … Continue reading

http://www.nsclc.org/wp-content/uploads/2014/06/PDF-FINAL-CCI-Guide-Version-3-06.27.14.pdf

CA DHCS: Quarterly Coordinated Care Initiative Stakeholder Update July 2014

From Margaret Tatar, Assistant Deputy Director of Health Care Delivery Systems, Department of Health Care SErvices Over the last three years, the Department of Health Care Services has engaged in conversations with stakeholders about the Coordinated Care Initiative, including having department officials and interested parties participate in numerous stakeholder workgroups and meetings.    As part … Continue reading

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