LA Care: L.A. Care Announces 2015 Medicare Stars Rating and Full Participation in Cal MediConnect

Update from LA Care Health Plan:  L.A. Care Health Plan, the nation’s largest publicly operated health plan, is proud to announce the results of the annual Medicare Star Ratings, which indicate that L.A. Care’s Medicare Part D Star Rating has improved for 2015. With this new rating, L.A. Care will begin accepting passive enrollment into … Continue reading

LA Care Connections Special Bulletin

From our colleagues at LA Care:  Presentations from CCI Stakeholder Workgroup Meeting Thank you for participating yesterday in L.A. Care’s CCI Stakeholder Workgroup meeting. We value your feedback and appreciate the time you are dedicating to this new program. As promised, here are some key presentations and materials from yesterday’s meeting. CCI Stakeholder Meeting Presentations … Continue reading

California Healthline: LA Care Passes Duals Readiness Review

by David Gorn Federal officials yesterday cleared LA Care Health Plan for takeoff in the state’s duals demonstration project. By passing its readiness review, the largest publicly operated health plan in the state will be able to accept enrollees when the duals project is launched in Los Angeles County in July. LA Care still will not … Continue reading

LA Care: L.A. Care Successfully Completes Cal MediConnect Readiness Review

From our Colleagues at L.A. Care:  L.A. Care is pleased to announce that it has received readiness review approval from NORC, the organization contracted by the Centers for Medicare and Medicaid Services (CMS) to conduct the Cal MediConnect reviews nationally. The purpose of the readiness review is to test health plan capabilities to ensure high … Continue reading

LA Care: DHCS Announces Change to Cal MediConnect Program in Los Angeles County

From our colleagues at LA Care Health Plan:  On Tuesday, February 4, the Department of Health Care Services (DHCS) announced that DHCS and CMS will be directly contracting with CareMore, Care1st Health Plan and Molina in addition to Health Net and L.A. Care for the Cal MediConnect program in Los Angeles County. This means that … Continue reading

LA Care: L.A. Care and Health Net Host CCI Stakeholder Meeting

Topics discussed include an update on the draft Los Angeles County enrollment strategy and the creation of a stakeholder-led CCI Outreach Workgroup. On December 12, 2013, L.A. Care and Health Net jointly hosted a Coordinated Care Initiative (CCI) Stakeholder Meeting. The purpose of this meeting was to bring together key stakeholders to discuss policy and … Continue reading

LA Care: Draft Los Angeles County Enrollment Strategy Released for Public Comment

Revised strategy confirms that individuals who opt out of Cal MediConnect will not be passively enrolled at any point into the program. On Monday, December 9, DHCS re-released the draft Los Angeles County Enrollment Strategy for public comment. All public comments were due to DHCS this Monday, December 16. Key HighlightsMost importantly, the revised strategy … Continue reading

LA Care: Help Your Medi-Cal Patients Access CBAS Do you have patients who require a high level of care, but wish to remain living at home? They may be able to get assistance through  several Long Term Services and Supports (LTSS) that can be accessed with assistance from L.A. Care, including the Community Based Adult … Continue reading

LA Care: Draft Three-Way Contract Released to Health Plans

Once finalized, most plans will have until December 13 to accept the terms and execute the contract. The Centers for Medicare and Medicaid Services (CMS) in partnership with California Department of Health Care Services (DHCS) released the draft three-way contract to the Cal MediConnect health plans on November 6.  L.A. Care and other participating Cal … Continue reading

LA Care: Download the New Advocates Guide to California’s Coordinated Care Initiative Today

The guide is designed for advocates and individuals who provide assistance to Dual Eligibles. The Advocate’s Guide to California’s Coordinated Care Initiative has been updated to reflect several recent changes, including the new Cal MediConnect implementation date of no sooner than April 1, 2014. Co-authored by the National Senior Citizens Law Center and the Disability Rights Education … Continue reading

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