Tag Archives: Duals

September 22 Webinar Materials Available

September 23, 2015
The webinar covered the consumer protections provided under the CCI. The webinar also provided a detailed summary of what benefits will be provided by Cal MediConnect plans and a review of what long term services and supports are being integrated into managed care.

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California’s Dual Eligibles Demonstration

May 8, 2012
Dual eligibles will be passively enrolled in Medicare. Individuals who do not actively opt out of the demonstration will be locked in to a particular health plan for 6 months. Enrollees are left to rely upon a 6 month care continuity option, that does not appear to extend to such critical ancillary providers as Durable Medical Equipment (DME) suppliers and seating fitters, and a Medi-Cal Medical Exemptions Request (MER) process that has been fraught with interpretation and implementation difficulties during the mandatory enrollment of seniors and persons with disabilities under the 1115 waiver.

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