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CA Health Network Alert

Fact Sheet: Denti-Cal for Adults

By | CA Health Network Alert, FACT SHEET, Oral Health, REPORTS | No Comments

In May 2014, dental benefits were partially restored for adult Medi-Cal recipients and are delivered through the Denti-Cal program. Unfortunately, many Medi-Cal recipients do not know they have dental coverage. Those who do know they have coverage often do not know what treatment they can obtain and have a hard time accessing benefits.

This new fact sheet, Denti-Cal for Adults, explains the basics of Denti-Cal coverage, how to access benefits, and provides a summary of what benefits are covered.

Please share broadly both within your own organization and with the consumers and clients you serve.

WEBINAR: CCI Advocate’s Guide Version 5

By | CA Health Network Alert, WEBINAR | No Comments
When: Thursday, October 6, 2016 11:00 a.m. PT

California’s Coordinated Care Initiative has been in effect for over two years. This webinar provided an update on the status of the program, covered recent changes the Department of Health Care Services has implemented, and summarized the evaluations of the program to date.

This webinar accompanied the release of the Advocates Guide to California’s Coordinated Care Initiative Version 5.

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Durable Medical Equipment: The Basics for California Advocates & Consumers

By | CA Health Network Alert, FACT SHEET, Medicare, REPORTS | No Comments
Justice in Aging has produced two new Fact Sheets for advocates and consumers: The first, for advocates, Durable Medical Equipment: The Basics for California Advocates,  offers definitions for DME, coverage levels by insurance type, and includes steps advocates can take to help clients access DME depending on their insurance coverage. The second, for consumers, Durable Medical Equipment: What You Need to Know, also offers definitions of DME and simple instructions for consumers on how to get DME covered based on which insurance they have. Both fact sheets include a section of troubleshooting tips for common difficulties encountered when accessing DME.

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Cal MediConnect Deeming and Aid-Paid-Pending

By | CA Health Network Alert, FACT SHEET, REPORTS | No Comments
Most individuals with full Medicare and Medi-Cal coverage are eligible to enroll in a Cal MediConnect plan. When a beneficiary loses full-scope Medi-Cal coverage, she also loses eligibility for Cal MediConnect.

  • What happens when your client loses eligibility for Cal MediConnect?
  • Is there a grace period to reestablish eligibility?
  • What are Cal MediConnect deeming and aid-paid-pending? How are they different?

Justice in Aging, with the support of the SCAN foundation, has prepared this fact sheet to help you learn some of the details of two Cal MediConnect eligibility protections: deeming and aid-paid-pending.

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WEBINAR: The California Coordinated Care Initiative: An Update Two Years into Implementation

By | CA Health Network Alert, DUAL DEMONSTRATIONS, DUAL ELIGIBLES, WEBINAR | No Comments
When: Thursday, February 18 at 2:00 p.m. PST/5:00 p.m. EST

California began implementation of the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect, in April 2014. The CCI is now underway in seven counties including Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

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WEBINAR: The California Coordinated Care Initiative: Consumer Protections & Balance Billing

By | CA Health Network Alert, WEBINAR | No Comments
When: Monday, November 16, 2015 11 – 12 PM PT

California is moving forward with the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect. The CCI started in April 2014 and is now underway in seven counties: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

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WEBINAR: The California Coordinated Care Initiative: An Update One Year into Implementation

By | CA Health Network Alert, WEBINAR | No Comments
When: Tuesday, September 8, 2015, 11:00 a.m. PDT

California began implementation of the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect, in April 2014. The CCI is now underway in seven counties including Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

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WEBINAR: The California Coordinated Care Initiative: Advanced Training – Consumer Protections and Benefit Package Summary

By | CA Health Network Alert, WEBINAR | No Comments

When: Wednesday, August 12, 2015 2:00 p.m. PT

California is moving forward with the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration known as Cal MediConnect.  The CCI started on April 1, 2014, and is now underway in all seven counties including Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

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Updated Advocates Guide to Coordinated Care Initiative

By | Advocate's Guide, CA Health Network Alert, REPORTS | No Comments
California is the largest of nine states currently participating in a financial alignment demonstration that allows states to enroll dually eligible individuals into integrated health plans responsible for delivering both the Medicare and Medicaid benefits. The California demonstration, called Cal MediConnect, has been implemented concurrently with California’s decision to move the delivery of long-term services and supports into managed care under a larger initiative called the Coordinated Care Initiative (CCI).

Justice in Aging created an Advocates Guide to California’s Coordinated Care Initiative to help advocates understand the extensive changes occurring under the CCI. Today, Justice in Aging released Version Four of the Guide. Read More